Anxiety about Barbie Butt Surgery - Need Reassurance!


Hope someone can reassure me that this stump removal and Barbie butt surgery is not going to be a living hell. I am having it done on 9/1/2022 and I am starting to get real anxiety about it. Of course, all your family and friends tell you that you will be fine (they have no clue). The first surgery sucked, but hoping this one is not worse.


The surgery isn't all that bad, recovery time will vary for each person. You won't be sitting too much for a while, so get used to lying or standing.


I completely understand, I'm waiting on the date for my own Barbie butt and the anxiety (and pain) are through the roof. I've read lots of stories from folks here about their experiences and it helps tons. I'm sure others that are more helpful will chime in.

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Reply to AlexT

Laying I can do, but standing is hard because of bad knees (next surgeries). Thanks.


There are special pillows that you can sit on that have an open center.  Some are inflatable.  And who came up with the name "Barbie butt"??

How to Manage Ostomy Leaks with LeeAnne Hayden | Hollister
Reply to nobecindy7

I got my Barbie Butt a year ago, and I had no problem sitting and it all went great. Don't worry until you have to and you probably won't have to

Reply to HenryM

You don't want the pillows with open centers, puts more stress on your wound. My surgeon didn't even want me sitting on the toilet to empty, so I emptied my not a "bowl" and then emptied that into the toilet. Don't know who came up with the name but it's very fitting. &zwj

Reply to IGGIE

You would be the only person I've ever heard say they had no issues sitting right after the surgery, but good for you.


Hi Nobecindy, it's surgery. It's going to hurt, but if you take the pain meds before it gets too bad, it should be manageable. Once it's healed, you'll be glad it's done and you don't have to deal with the mucus the anus produces even after it's been disconnected. Get a real comfy pillow to sit on for the first couple of weeks and don't lift anything over five pounds, not even a baby. Good luck.


Everyone's experience is different. I had my APR over two years ago... It is painful, I'm not going to lie, but it is manageable if you stay on top of it. Mine had the bonus surprise of also giving me a urostomy (twofer), which added to the pain. All in all, you'll make it through and see that it gets better with time. After a while, you don't really even think about it. Good luck and best wishes on your surgery!

Reply to AlexT

I was wondering how I was going to empty my bag...

Reply to nobecindy7

This is what they used in the hospital to measure my output, and it's what I used at home too. I still use it for adding water to my bag to rinse it out if need be.


Yeah, not much fun and still quite painful after 6 months, but a better life than the fistulas and abscesses that came before.

Emptying - I keep a shower chair in the bathroom. No longer needed for showers but I can pull it close enough to the toilet to

suspend the bag over the water. Best way I've found, splashage notwithstanding.


I just had my BB surgery this past April. I was hoping for it to be laparoscopic but too many adhesions, so I had open surgery. It was painful post-surgery but not overwhelmingly so. Take the pain meds, and you should be okay. I did the same as Alex at first and emptied into a jug and then into the toilet. It wasn't long before I could sit on the toilet to empty. The incision in my butt took the longest to heal, and it's still a bit uncomfortable sitting on hard surfaces, but most of the time it's pretty good. Try not to worry too much about it. Once it's over and the healing starts, you will feel much better. Good luck with everything!

Reply to nobecindy7

Another option would be to face the toilet and go down to one knee on the floor to empty. I have never been able to empty while sitting on the toilet seat. Much easier for me to do the knee.

Reply to GraphX12

That's exactly what I do now. Flush the toilet and as the water starts to go down, empty the bag. No need to put toilet paper on the water to prevent splash back and it gets 99% of the smell gone right away.


I had 4 years of living with a diseased rectal stump, after having the initial ileostomy when I was 15. Drs. tried to heal (ulcerative colitis) using oral, topical medications plus enemas. I was 19, and literally sick of it, and begged for the surgery. Living with the UC was still painful and intrusive. The surgery wasn't easy, but I was prepared for it... and while it took some time to heal... It finally did. I've had my ostomy for over 60 years... and my quality of life improved greatly. I've never regretted the decision. Just take it as it comes, and don't spend the time on anxiety now. Ask questions... and process the answers, and then deal with the events as they happen. Best of luck, Marsh

Reply to GraphX12

Glad to know I'm not the only one that does this, I'm in good company and it's exactly how I empty


I have a Ken butt (August 2019). Expect 10 weeks minimum convalescence in bed laying on either side. After that, you will learn quickly to sit on one side or the other since sitting straight will put too much pressure on the incision site. Avoid toilet seats completely since they tend to pull the buttocks apart (painful)! Since you are a woman, you may want to consider a female urinal device to make it less painful to use the restroom while you heal. Once all the edema and healing is complete, you will feel pretty much normal. You may notice some numbness in the dermis when you bathe around the incision, but most of that feeling should return over time. Don't worry; you can do this. Good luck and God bless.


I had my "Barbie butt" four years ago. I remember being very nervous and frightened about it. It just felt "wrong" to have my rectum removed and my anus sewn shut. (Even though I knew, intellectually, that they were now extra parts) But honestly, it wasn't that bad all-in-all. No complications or anything for me. You have to wear a maxi pad in your underwear for a while until it completely heals. It was more the mental aspect of it for me. Four years later I feel great about the decision because I don't have those parts that could cause problems down the line (cancer, etc). Truly, you will be fine.


I had surgery in February. I had way more than that done, but I didn't find it worse than any of the other issues I had after surgery. One thing I did at home once I was able to sit some was to make it more comfortable was I made a "nest" with a soft comforter. It added softness without any pulling. I used it for weeks.


Hi there. Nobody, and I mean nobody, could have been more nervous than me. The morning of the surgery, I just said screw it. I was tired of crapping thirty times a day, etc. The surgery was fine. The nurses walked me by the hand to the OR. What a baby I was. I just laid down and said to the surgeon - please make me better. She did. Three months later, I feel alive and well and can look back at it as something that needed to be done so I could live. Take some deep breaths and look around you. Life is beautiful, and we should be able to enjoy it. This surgery is just something that will allow that. The worst part was the hospital food. Bring an iPad or laptop to the hospital while in recovery so you can watch YouTube. Time will just fly by!!!


I had both done at the same time as well as a resection of my vaginal wall. So I was cut open from my navel to the base of my lumbar spine with wound vacs front and back. It was a lot all at once.

I understand your concern. But remember that you will have less disturbance of your internal organs this time so it shouldn't be as hard. It will be worth it.


I had the surgery 2 weeks ago. It's not that bad. Was off strong pain meds in 3 days. Now just on Panadol (Tylenol). I went to Ikea and got a super cushioned lounge chair and a round cushion for regular seats. The first few days out of the hospital, car rides and sitting were painful but the lounge chair is completely comfortable and short car rides are no problem now. I only sit on hard surfaces for a short period, but otherwise, it's not a problem most of the time. It gets most sore at night, so that's the only time I need Panadol now. Good luck. Wishing you a speedy recovery.


Regarding Barbie butt LOL! That is a new expression for me. I had permanent colostomy surgery in August 2021. I had my rectum and anus removed. I have found that it is so much easier than what I was going through before my surgery. I never ever have to wipe my butt again :-). So yes, it is a different way of life now but wearing the pouch is so much better than the life I had before my surgery. I think you'll get used to it and enjoy a different life now.

Reply to AlexT

This is really helpful advice that I have been following since I read it. Definitely makes a difference to healing.

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