Low Versus Standard Pressure Pneumoperitoneum on Shoulder Tip Pain

Inclusion Criteria: The participant must meet all of the inclusion criteria to eligible for this clinical trial: 1. All ages \> or = to 18 years old; 2. Must be deemed to have capacity to provide informed consent; 3. Must sign and date the informed consent form; 4. Stated willingness to comply with all study procedures; 5. Must be undergoing unilateral or bilateral salpingo-oopherectomy or salpingectomy or ovarian cystectomy; Exclusion Criteria: An individual who meets any of the following criteria will be excluded from participation in this clinical trial: 1. Previous midline laparotomy; 2. Gynecological cancer beyond stage 1 disease; 3. Chronic pain; 4. Known diagnosis of endometriosis or evidence of endometriosis intra-operatively; 5. Fibromyalgia; 6. BMI \>50; 7. Language barrier; 8. Inability to communicate or provide informed consent;