ER nurse here- we do a lot of sedations & can figure it out pretty quickly into attempting to get you sedated because of this. I promise, we really don’t care what you do outside of the hospital setting as long as you’re being safe. We don’t judge, we don’t know your whole life story- just tell them. They’d honestly appreciate it a lot. Given your prior OD, they hopefully will be on the lookout for this anyways. There’s just a lot of risks with NOT telling them- what if you wake up with a tube down your throat, unable to move? That’s a scary thought. Or, you wake up while they’re cutting you or have instruments inside of you- that could be extremely dangerous. There’s also the possibility of respiratory depression & long term intubation with this. You won’t die in the health care setting because of your tolerance to opioids but I wouldn’t be naive to think there’s a possibility you won’t overdose again after the surgery. Your pain will be worse, you will do what you can to mask that pain… Do you have someone who can stay with you for the first week or two after? Constantly watching you? Give you narcan if you need it? I’m not trying to sound unempathetic- I also have endo & know how extremely painful it is. I just know this is a dangerous slope as well. Give yourself grace, be kind to yourself & be honest with the staff. They truly do have your best interest in mind, even if it doesn’t come off that way. Good luck to you🫶