Don’t know anything about that procedure, but some solid advice for any surgery:

Pre-op, avoid looking up videos of the procedure; or if you do, look for animations vs real surgery footage. Surgery’s gory as fuck, don’t freak yourself out by injecting uncomfortable images into your brain.

Take a thorough shower the morning of. They’ll use an antimicrobial prep on the actual surgical site, but the fewer microbastards crawling on your skin leading up to the cut, the better. And don’t forget your belly-button… fucking wild how often the nurse doing the prep fishes out a plug of lint and grime from the patient’s belly-button when they’re doing an abdominal prep.

Wear super loose clothes that’ll be easy to get into and out of. If you think they’ll keep you over night, bring a change. And anything else you might want if you’re going to be there a while, like a phone charger, headphones, etc.

DO NOT eat or drink anything the day of or at least 12 hours prior. Your pre-op instructions surely say this, but it seldom says why: when you’re under anesthesia, you lose control of all your muscles, including the ones that keep the contents of your stomach actually inside your stomach. So if it’s not EMPTY when those relax, all that shit goes up your esophagus, then down your trachea and into your lungs, which can kill you in a hurry. This includes water, tobacco dip, and even chewing gum - even if you don’t actually swallow anything, it can stimulate gastric juice production.

Tell your anesthesiologist EVERYTHING you put into your body. They’ll ofc ask about your prescriptions, but if you take like OTC ibuprofen regularly, tell em. Herbal supplements/teas, energy drinks - tell em. Recreational and/or illegal drugs - yup, tell em. They aren’t cops, they don’t give a fuck if you’re breaking the law - but a lot of that shit can interact with anesthesia meds so they definitely care about the chemistry and how it’s going to effect your care. Withholding that kind of info can result in a lot of unnecessary discomfort, or kill you.

Shortly before you go under, they’ll put an oxygen mask on and tell you to take big deep breaths. Pure oxygen is fucking magical, so legit take actual big deep breaths. Same when you wake up, if you’re coherent enough to remember - it’ll shake off the anesthesia brain fog much quicker.

Post op, adhere to your medication instructions TO THE ‘T’. Especially the pain meds - if it says take every 4 hours, take it every 4 hours. Don’t wait for it to hurt, cuz in the time it takes to kick in, it’s gonna hurt a lot worse.

If you’re given a narcotic for pain, you’ll probably also get a stool softener. DO NOT skip it lol - narcotics will make your turds feel like a cinder block.

For the first few weeks post op, however good you feel… NO YOU DON’T. It’s the pain meds. Act as though you’re at about 30% of what you feel. Rest rest rest - do not exert. If you live with someone who can help you, don’t feel guilty about asking them to do menial shit, cuz they’d much rather get up to fetch you something that’s just a bit out of your reach than rush you to the ER cuz you strained your abs, popped your stitches, and now something is sticking out of your abdomen.

…and when they bill you afterward, ask for it to be itemized if it isn’t already. Hospitals like to do sketchy shit like charge you for an entire case of sutures when they only used one - look up any item that seems suspicious (although some are legit just expensive af).

That’s everything off the top of my head. Happy to answer any questions, but a lot of my answers will probably be “I dunno” – I’m a surgical tech, which is rock bottom of the medical food chain, but I’ve been at it for almost a decade so I’ve picked up a few things.

If anything your provider tells you conflicts with what I’ve posted, your provider ALWAYS supersedes random internet stranger, so disregard any part of my post that doesn’t mesh.

You’re not likely to have the energy to do anything beyond lounging around for at least a week or two, I’d plan on taking at least a month off work.

I had PI vaginoplasty. I was absolutely not capable of working for the first 3 months, and I work remotely. There is so, so much after care required for this surgery. You are going to want to look into medical leave if you have not already.

My results have been fantastic, partly because of how diligent I was during those first 3 months. Careful what I ate, careful what I did, adhered to my strict dilation schedule, and maintained excellent hygiene. I worked very hard, and my results reflect that.

When I first went back to work at 3 months it was genuinely very hard. The first 3 months back to work were very stressful, and I was often working 12 hours every day including dilation and after care work. I would’ve taken even more time if I could have honestly.

But after 6 months things got much easier. Workload was essentially halved by going down to 1 dilation a day, and I’m nearly at a year now and so my dilation routine has lessened even further. I’m extremely happy with my results, and this surgery was the best decision I’ve ever made in my entire life. Having a vagina is absolutely life changing and I wouldn’t trade it for anything. It was worth all the work to be here, and it was a lot of work. Hope some of this helps :)