The topic is about someone who is feeling anxious about an upcoming surgery called abdominoperineal resection (APR) with rectal stump removal, often referred to as "Barbie butt" surgery. This person had a tough time with a previous ileostomy operation and is worried this surgery might be even more challenging. They are seeking reassurance from others who have experienced the same procedure. Here are some helpful insights and advice shared by others:

1. Pain & Medications
- Post-surgery pain is expected but can usually be managed with prescribed pain medication.
- Many people stop using strong opioids within a few days and switch to milder pain relievers like Panadol or Tylenol.
- It's important to take pain medication before the pain becomes severe and avoid lifting anything heavier than 5 pounds to prevent additional pain.

2. Sitting, Standing & Lying
- Initially, you may not be able to sit much. Plan to lie on your side or back and stand for short periods.
- Recovery often involves 6–10 weeks of mostly side-lying in bed, with some people sitting by leaning on one cheek.
- Hard surfaces can be uncomfortable for a while, so using a soft comforter or a deeply cushioned chair can help.

3. Cushion & Pillow Tips
- Avoid using donut or open-center pillows as they can put pressure on the wound edges.
- A very soft, flat cushion or a padded "nest" can provide comfort.
- A maxi pad in your underwear can protect the healing incision from drainage.

4. Emptying the Ostomy Pouch While You Can’t Sit
- You can kneel facing the toilet to empty the pouch, flushing first to reduce splash and odor.
- A shower chair or small stool beside the toilet can help you empty the pouch while standing.
- Use a graduated cylinder or jug to empty the pouch, then pour it into the toilet.
- Some people empty while standing and leaning, rinsing the pouch with water from a container.

5. Toileting & Bathroom Aids
- Your surgeon might advise against sitting on a toilet initially, as it can stress the wound.
- Female urinal devices can allow urination without sitting.

6. Activity & Restrictions
- Avoid lifting more than five pounds and straining.
- Short car rides might be uncomfortable at first, but a thick cushion can help.
- Walking as tolerated can promote healing, but everyone’s recovery timeline is different.

7. Healing Expectations
- The incision on the buttocks is usually the last to heal and may feel numb or tender for months, with sensation returning gradually.
- Full recovery can take weeks to months, but many people feel back to normal and grateful once healed.

8. Mental & Emotional Reassurance
- Feeling anxious is normal, but many people find the surgery greatly improves their quality of life by eliminating issues like mucus discharge and reducing cancer risk.
- Focus on the long-term benefits and ask questions to ease your mind.

9. Miscellaneous Tips
- Bring an iPad or laptop to the hospital for entertainment.
- Prepare soft clothing and large pads for any discharge drainage.
- Remember that everyone’s experience is different, so listen to your own body and avoid comparisons.