Preparing for recovery from a "Barbie Butt" surgery, which involves the removal of the rectum and anus with permanent closure, can be a challenging journey. Here are some practical tips and insights to help make the postoperative recovery a bit smoother:

1. Sitting and Positioning
- In the first few weeks, you might find yourself lying on your side or standing more often, as sitting can be uncomfortable.
- When you do sit, try leaning onto one buttock and switch sides regularly.
- A very soft, thick pillow can be your best friend. Many people prefer ordinary fluffy cushions or "Purple Pillow" cushions. Avoid donut-shaped cushions as they can put pressure on the wound.
- Keep a cushion handy in the car and at work. Some people find they prefer soft seating even in the long term.
- A toilet-seat extender can help by raising you higher and reducing pressure.

2. Pain and Medications
- Take your prescribed pain medications before the discomfort becomes too intense. Once you're off narcotics, over-the-counter options like ibuprofen or Tylenol (acetaminophen) can be effective.
- You might experience nerve pain, such as sciatic irritation, so extra cushioning can be beneficial.

3. Wound Care and Hygiene
- Be prepared for some drainage or oozing. Wearing thin pads in your underwear and keeping dressings clean and dry is important.
- Sitz baths, done 2-3 times daily with warm water and a pinch of Epsom salts, can greatly ease pain and itching.
- Many people recommend dissolvable stitches and keeping the area as dry as possible between cleanings.

4. Activity Restrictions
- Avoid lifting anything heavier than a cup of coffee for several weeks.
- Have books, crafts, or hobbies ready that you can enjoy while lying on your side.

5. Emptying the Ostomy Bag
- You can stand, kneel, or empty the bag into a "bucket" before pouring it into the toilet to avoid sitting.
- Placing toilet paper in the bowl can help prevent splashing.

6. Nutrition for Healing
- Focus on a protein-rich diet and consider collagen supplements to support tissue repair.

7. Recovery Timeline and Mind-set
- While discomfort is real, it is temporary. Most people report steady improvement over weeks to months.
- After a year or more, many are able to drive, work, and travel normally, often using a soft cushion as needed.
- Staying positive and patient is key, as emphasized by many who have gone through this.

8. Miscellaneous
- Some surgeons offer a light-hearted "tattoo" on the closed site while you're under anesthesia.
- Common reasons for this surgery include rectal cancer at the anal opening, vaginal cancer with radiation damage, fistulas, and chronic pain.