Pilot Study: Preoperative Nicotine Lozenges

Inclusion Criteria: * Current cigarette smoker, defined as \>100 cigarettes lifetime consumption and self report of smoking every day * Scheduled for elective non-cardiac surgery Exclusion Criteria: * An inability to understand consent procedures * History of an allergic reaction to nicotine replacement therapy * History of sustained ventricular tachycardia * Untreated hyperthyroidism or pheochromocytoma * Currently utilizing pharmacologic agents specifically to treat nicotine dependence, including nicotine replacement therapy and bupropion (for a stop-smoking indication) * Active (within the past 12 months) non-nicotine drug dependence * Females who are pregnant or lactating * Patients with phenylketonuria, because the lozenges contain aspartame, which is metabolized to phenylalanine. * Lack of access to a telephone, as one follow-up will be performed using this means.