Prophylactic TBR on Phantom Limb Pain

Inclusion Criteria: * 13+ year old patients undergoing major amputation with Dr. Gaston and Dr. Loeffler in the 12-24 months after the start of this study. * Ability to read and comprehend English. * Willing to use VR daily while in the inpatient setting following major amputation. Exclusion Criteria: * Patients under 12 years of age, and patients aged 13-17 without a legal guardian to give consent. * Have used TBR extensively in the past for prior/unrelated amputation. * Active uncontrolled mental illness * Active neurological disease or cognitive impairment that would interfere with VR therapy or survey completion. * Non-English speaking (surveys will only be provided in English)