Surgeon Perception of Gastric Decompression at Time of Gynecologic Laparoscopy

Inclusion Criteria: * Undergoing gynecologic laparoscopy for the following indications: hysterectomy, adnexal surgery, benign and malignant tumors or disease, diagnostic purposes, lysis of adhesions, and pelvic pain. * Surgery being performed by gynecologic surgeon with or without minimally invasive gynecologist certification, gynecologic oncologists, urogynecologists, and reproductive endocrinologists. Exclusion Criteria: * Entry sites other than umbilical * Planned or high suspicion for bowel surgery * Anticipated surgical time \>4 hours * Known diagnosis of gastric reflux disease or peptic ulcer disease * Prior history of gastric or esophageal surgery excluding endoscopy * Day of surgery emesis events * Difficult intubation determined by anesthesia * Intrauterine pregnancy * Chronic lung disease * Individuals with smoking history. * Individuals who do not speak English due to limitations in ability to reliably obtain informed consent in their primary language.