Background: This investigation was designed to evaluate the efficacy of a local anesthetic pain infusion pump in management of postoperative pain in abdominoplasty patients. Methods: A retrospective study of 38 abdominoplasty patients with local anesthetic pain pumps and 35 abdominoplasty patients without pain pumps was performed. All patients were admitted postoperatively and started on a narcotic patient-controlled analgesia (PCA). Postoperative PCA narcotic use and pain scores were recorded every two hours by the nursing staff. For the first twenty-four hours of postoperative hospital stay, pain medication, pain scores, and anti-emetic use were determined from the patients' charts. Hospital stay was also reviewed. Results: In the pain pump group, there was a small but not statistically significant reduction in pain medication use (2.65 versus 3.04 pain units) (p=0.34). Interestingly, pain scores were higher in the pain pump group but not significantly (2.73 versus 2.31) (p=0.17). There was no statistically significant difference in the use of anti-emetics (0.8 versus 0.6) (p=0.60). Hospital length of stay averaged 2.2 in the pain pump group and 2.5 in the group without pain pumps (p=0.09). Conclusion: The postoperative use of pain pumps in abdominoplasty patients did not significantly improve pain management.