I don't know if you would consider having a pain pump put in major surgery or not. It's generally a procedure that is done in the hospital and you go home the next day or as soon as you can pay after being sedated. In your sixties and seventies and eighties any surgery is Major I suppose. The pump is inserted in your abdomen and a catheter goes up your spine. I don't recall having pain at the incision site after surgery but then the pain, filled with pain in one hundred percent of your body.