We've all seen the articles espousing the benefits of neural blockade and the multimodal, proactive approach to post-op pain management. Facilities and anesthesia practices that have embraced this system have reported decreased costs and significant increases in patient and surgeon satisfaction. However, many are still hesitant to initiate a comprehensive neural blockade program. The reasons range from operational and timing problems of completing the blocks without interrupting the surgical schedule to the subject of this article: a lack of training.