This topic is about preparing for a proctectomy, also known as "Barbie bum," which involves the removal and closure of the rectum and anus. This surgery is being considered by someone who has been living with a stoma since 2020 and is now facing ongoing health challenges. They are feeling anxious about the surgery and its potential complications, and they are looking for encouragement and advice. Here are some insights and suggestions shared by others:

1. Mental outlook is important:
- Try to reframe your thoughts by focusing on the positive changes that will come after recovery, rather than the immediate discomfort. Visualize a future where you feel free and healthy.
- If you're struggling with motivation, consider speaking to your surgeon or general practitioner about short-term anti-anxiety medication or counseling.

2. Success stories and setting realistic expectations:
- Many people who have had their rectum removed report minimal pain after the initial recovery period and describe it as the best decision they made.
- Expect some soreness for one to two months, but the long-term relief from symptoms like bleeding and spasms is often worth it.

3. Choosing the right medical team:
- It's crucial to have a skilled colorectal surgeon and a wound/ostomy nurse you trust. Every case is unique, so rely on professionals familiar with your medical history.

4. Acceptance of health-based decisions:
- Previous health decisions, like creating a stoma, have been beneficial. Consider this surgery as another necessary step for your health, rather than a failed attempt.

5. Coping tools for anxiety and healing:
- Explore non-medical calming techniques, such as listening to binaural beats or chakra-healing soundtracks available on platforms like YouTube or Spotify.
- Remember that even those who faced severe health challenges eventually found a positive outlook and returned to normal life.

6. Awareness of possible but uncommon issues:
- While rare, some people experience complications like nerve damage, but overall, the quality of life often improves compared to pre-surgery conditions.

7. Final encouragement:
- The pain is temporary, and having a closed rectal stump can permanently end bleeding and inflammation.
- You've already overcome significant challenges; focus on healing and living the life you desire.