 [ Symptoms ] doctor placed an intrathecal pain pump implant for dilaudid & baclofen is it justified [ Disease ] i do believe that your doctor has a wrong belief that surgery for a patient not on opioids is a must or better according to the american pain society new guidelines its okay to be on such drugs without a need to stop it…but i prefer not to assume anything untill you meet your doctor and discuss your concerns with him may be he is having another justified explanation