This study is a randomized proof-of-concept study to assess the efficacy of Virtual Reality (VR) vs standard of care in 50 adult patients in the New York Presbyterian Burn Unit. The participants who are randomized to receive the virtual reality intervention will also receive opioids, which is the standard of care and is known to be effective. Participants will be randomly assigned to two groups. The first group will receive VR during their painful procedure (e.g., wound dressing changes, physical therapy etc.) in addition to the standard of care. The other group will receive standard of care (and no VR).

Inclusion Criteria:

• 8 years and older
• Patients with a burn injury and is in the Burn Unit at New York Presbyterian
• Awake, alert, ambulatory
• The burn comprises less than 15% total body surface area (TBSA)
• The patient does not require conscious sedation such as ketamine for staple removal or wound dressing changes
• The patient is able to give informed consent

Exclusion Criteria:

• Diagnosis of a cognitive disorder, psychotic disorder or bipolar I as determined by self-report from previous diagnosis
• Current opioid abuse