I've always been an advocate of being entirely honest with your doctor... but in this case, since you will need narcotics for your surgery, can you tell him you are dependant on them and not addicted and that you go into withdrawals when you try to get off of them? If you tell them you don't abuse them, then he would think differently. Then again, I've heard someone on here you used to work in a pharmacy say that even if you are an addict, A doctor cannot let you be in pain, especially after such painful surgery and that they WILL give you pain relief. The only thing you need to worry about there is getting back on them and getting hooked again. I really think you need to tell your doctor that you want to stop taking them because you DON'T WANT to get addicted and could he give you medicine to help with w/ds. Please think about it--- otherwise, no matter what, addicts always hav excuses. Even though yours are valid, there are always ways to work around them. Trust me, after your surgery while your on pain pills, you will have other excuses not to stop taking them. You really need help. Please talk to him.