Laurie R. Goodrich DVM, MS, PhD Veterinary Clinics of North America: Equine Practice December 2008 24 3 611-620 Equine orthopedic pain management has become a growing area of interest. Its importance has been emphasized in many studies showing that better pain management results in decreased postoperative complications such as chronic pain, support-limb laminitis, gastric ulceration, and gastrointestinal disease. This review is meant for the surgeon managing orthopedic pain pre-, peri-, and postoperatively.