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The Transitional Pain Service (TPS) at the Toronto General Hospital Department of Anesthesia and Pain Management employs an evidence-based patient care model founded on the latest research in transitional and chronic pain care.

Our patient care model was developed alongside real-world studies conducted by our clinic team to validate our treatment approach and continue to improve the quality of care.

The TPS was established in 2014 as a multidisciplinary preventative clinical service aimed at reducing chronic pain, opioid use, and related disability and we have followed nearly 2,300 patients to date.


Based on the experiences gained by our team, we have created a TPS How-To Guide to provide interested professionals with information to support them in establishing a TPS in their own health care setting.

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Establish Your TPS

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Expert Advice to Establish your Transitional Pain Service

Our TPS How-To Guide contains essential information to aid health professionals in establishing a TPS, including:

  • background information about the TPS at Toronto General Hospital and its effectiveness

  • an overview of the TPS approach to patient care

  • guidelines regarding assessment of risk factors for Chronic Post-Surgical Pain (CPSP)

  • medication management recommendations

  • details regarding referral, patient flow, and clinic administration

  • information regarding patient evaluation questionnaires and eHealth tools for patients

  • details regarding our pain care services including medical and nursing care, psychology, and physiotherapy

  • insights regarding the benefits of establishing a TPS and potential challenges when setting up a TPS clinic 

  • and more!

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Establishing a Transitional Pain Service: A Guide for Health Professionals

To download the TPS How-To Guide please read the usage agreement below:

The use of the Establishing a Transitional Pain Service: A Guide for Health Professionals (TPS How-To Guide) is subject to the following conditions:


  • The TPS How-To Guide may be used by not-for-profit/academic/government organizations for research or educational purposes only.


  • Use of the TPS How-To Guide or any derivative in whole or in part thereof by for-profit organizations or by any organization or individual for a commercial purpose or for monetary gain (e.g., use in training courses, consultation) is prohibited without the explicit permission of the copyright holder.


  • Modification or adaptation of the TPS How-To Guide is not permitted.


  • Downloading the TPS How-To Guide requires registration by submission of an e-mail address and agreement to the above terms and conditions.

  • Your e-mail address will only be used for this download. You may be contacted by the TPS team for the purpose of evaluating the use of the TPS How-To Guide.

Access Guide
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