I have been honest with him, and he left it up to me. At the time of the last surgey I had, a lot of pain prior to the surgey and the dentist wrote tramadol, but they didn't touch my pain. of course I had high torlance for any pain meds. I can't take vicodin so I lived through the pain until after the surgey and then the pain was unmanagable so that is when I ask for something else. My drugs of choice was/is percs and oc's.. I can deal with a good deal of pain, I deal with back pain everyday. I been clean for almost a year and a half so I am hoping my torlance is lower now and tramadol will do the job.. I just dont want to risk my sobrity..