Eligibility Criteria:
Inclusion Criteria:
* Has signed an informed consent form
* Have an American Society of Anesthesiologists (ASA) Physical Status Classification of I, II, or III
* Female, 18-55 years old
* surgically sterilized, or
* pre-menopausal, with a negative pregnancy test within 7 days before study medication administration
* Male, 18-55 years old, who has more than 3 risk factors for PONV
* Undergoing outpatient laparoscopic gynecological surgery or laparoscopic abdominal surgery, scheduled for between 1 and 3 hours duration
* Known to have a history of post-operative nausea and vomiting and/or a history of motion sickness
* Has been a non-smoker for at least the previous 12 consecutive months
* Is able and willing to complete a subject diary until the end of the 96 Hour Follow-Up Assessment period
* Will be available to respond to follow-up by study personnel at 72 and 96 hours post emergence from anesthesia
Exclusion Criteria:
* Has an ASA Physical Status Classification of IV or V
* Is pregnant or breastfeeding
* Has been taking more than 10-15mg of oxycodone, or an equivalent opioid dose, on a regular, daily basis, for more than 3 consecutive days before surgery
* Has received an investigational drug in the precious 30 days or who is schedule to receive any investigational drug during the study period
* Has persistent or recurrent nausea and/or vomiting due to other etiologies, including but not limited to, gastric outlet obstruction, hypercalcemia, active peptic ulcer, increased intracranial pressure, or brain metastases
* Experienced retching or vomiting or uncontrolled nausea within 48 hours before administration of study drug
* Received medication with known or potential antiemetic activity within 24 hours before receiving study drug. This includes, but is not limited to: phenothiazines, butyrophenones, hydroxyzine, lorazepam, cannabinoids, metoclopramide, corticosteroids (with the exception of topical steroids for skin disorder and inhaled steroids for respiratory disorders), trimethobenzamide, monoamine oxidase inhibitors, lithium, and 5-HT3 receptor antagonists. Subjects who might require one or more of these medications during the 24-hour treatment period, other than as described in this protocol, are also excluded.
* Note: benzodiazepines other than lorazepam are allowed within 24 hours before and during study period, but only when used for indications such as anxiety or to induce sleep.
* Received radiation therapy to abdomen or pelvis in the 7 days prior to receiving study medication and/or will receive radiation therapy to abdomen or pelvis in the evaluation period.
* Has a history of poorly controlled diabetes mellitus
* Has a history of wound dehiscence
* Has had an incidence of necrotizing fasciitis, or any similar infectious process, within the previous 90 days
* Has a know systemic fungal infection, history of tuberculosis, or other mycobacterial infection
* Is immunocompromised - defined as a white blood cell (WBC) count of \<3,000 mm3
* Has any current or past medical condition (e.g., vagotomy) and/or require medication to treat a condition that could confound the evaluation of the data collected in this clinical trail
* Has a known hypersensitivity or contraindication to palonosetron hydrochloride or any another 5-HT3 receptor antagonist, dexamethasone, or any scheduled anesthetic or analgesic agents
* Has a known hypersensitivity to fentanyl and/or ketorolac tromethamine