Transitional Pain Clinic

The Transitional Pain Clinic (TPC) is an interdisciplinary, short-term outpatient clinic that provides pain management services before and after surgery. 

An important purpose for the TPC is to reduce the risk of the transition from acute to chronic post-surgical pain.

The TPC team consists of Pain Specialist Physicians, Registered Nurses, a Psychologist, a Physiotherapist, an Occupational Therapist, and a Pharmacist. 

The program aims to help you:

  • decrease the risks associated with long-term use of prescription opioids;
  • increase your knowledge of pain and how to manage it
  • improve your quality of life, including return-to-normal activities

Specialized pain management services offered include:

  • Medication monitoring to safely taper opioids and optimize non-opioid medications
  • Optimising physical function before surgery
  • Supporting safe gradual increase in physical function after surgery and return to daily activities
  • Education about pain science, breathing strategies and pain self-management strategies
  • Providing early healthcare support by offering pain services after the first assessment which is usually within 2 weeks from discharge. This may help to reduce pain crises and unexpected emergency hospital visits.

Targeting community resources to meet individual patient needs.

What to expect

Care is provided during individual appointments with clinical staff and physicians as well as with group education sessions. When in-person appointments are not possible, telephone or video appointments can be offered if appropriate. We see patients before surgery, after surgery, or both. 

Vancouver General Hospital - Gordon and Leslie Diamond Health Care Centre

2775 Laurel Street, 7th Floor, Station 4a
Vancouver, BC
V5Z 1M9
Phone: (604) 675-3653 - Reception
Phone: (604) 875-4111 extension 53653 - Switchboard
Fax: (604) 675-3659

Hours of operation

The clinic is open Monday to Friday from 8 a.m. to 4 p.m.

Referral

If you are a pre-operative patient, you can be referred by Pre-Admissions Clinic and will be seen prior to surgery. 

If you are a post-operative patient, you can be referred by the following services and are seen within two weeks of being discharged from the hospital after surgery:
  • Complex Pain and Addiction Services (CPAS);
  • Peri-Operative Pain Services (POPS);
  • Surgical Services, Family Physicians, and Nurse Practitioner.

Transitional pain clinic referral form

Parking & transportation

Underground parking lot in DHCC, street parking in the area. There is pay parking available at our two visitor lots located on the VGH campus: Multi-level parkade at the corner of West 12th Avenue and Laurel Street, across from the main entrance of the Jim Pattison Pavilion.

The Gordon and Leslie Diamond Health Care Centre parking lot is located off of Laurel Street between West 12th and West 13th Avenue. There is a wheelchair-accessible overpass from the VGH parkade at Level 4 and a crosswalk at Level 2. 

 Download parking rates for VCH facilities

Eligibility

Postoperative patients must have had surgery within the past 3 months at Vancouver General Hospital, Lions Gate Hospital, or UBC Hospital.

Resources

Custom 1

Upon completion of the TPC services, patients are discharged to their Primary Care Provider or to other community resources. Discharge plans will include recommendations for pain and opioid management, and when appropriate, referral to community resources, including other pain clinics. 

After discharge, the TPC team will be available by phone to support primary care teams for a maximum of three months.