A friend of mine is taking Ultram 50's (i think they're 50's) almost daily & often 2-3 times daily. She is going to have surgery, the MD's are aware that she takes it, but I am worried that she will go into withdrawal following the surgery if she doesn't get it after. She thinks not, as she says, she doesn't get high from it, doesn't abuse it (which she doesn't)so there for she is not addicted. I don't know, I think that if she is taking it everyday even if it is for real pain, that she is physically addicted to it. I also think that the doc's just don't know how addictive this medication really is. What do you all think?