Thoracic Epidural Analgesia Versus Rectus Sheath Block Versus Surgeon Infiltration With Liposomal Bupivacaine or Standard Bupivacaine for Post-Operative Pain Control After Cystectomy

Inclusion Criteria: * Patients undergoing cystectomy for bladder cancer * ASA class 1, 2, 3 or 4 * Age 18 or older, male or female * Desires Regional anesthesia for postoperative pain control Exclusion Criteria: * Any contraindication for thoracic epidural. * History of substance abuse in the past 6 months. * Patients on more than 30mg morphine equivalents of opioids daily. * Any physical, mental or medical conditions which in the opinion of the investigators, may confound quantifying postoperative pain resulting from surgery. * Known allergy or other contraindications to the study medications (Acetaminophen, Gabapentin, Bupivacaine, Hydromorphone). * Postoperative intubation. * Any patient with history of neuropathic bowel or bladder dysfunction