Dr. Desirée Walker still remembers the reactions from the group of health-care providers, who were gathered to discuss the opioid epidemic and substance abuse, when she said that she has an opioid-free practice. Silence. And then: Can you repeat that, please? She explains the opioid-free protocol that has worked well in her practice for two years. And yes, she still provides the same surgical procedures, but without prescribing opioids.