Topic Explanation:
The discussion revolves around the experiences and expectations related to undergoing a "Barbie & Ken Butt Surgery," a colloquial term for a procedure where the anus and rectum are surgically closed off, often following an ostomy. The original poster expresses concerns about the potential pain, embarrassment, and the logistics of post-operative care, particularly in relation to home health nursing and the physical implications of having the area sewn shut.

Extracted Advice and Helpful Insights:
1. Post-Operative Care and Pain Management:
- Expect some discomfort and pain, but it is generally manageable with pain medication. It's important to take pain relief before the pain becomes severe.
- Home help might be necessary, especially for tasks like cooking and cleaning, but extensive nursing care like packing wounds typically isn't required.
- Sitting will be uncomfortable for several weeks; using a soft or partially filled cushion can help alleviate discomfort. Avoid using donut cushions as they can strain the stitches.

2. Surgical Details and Recovery:
- The surgery might involve stitching the cheeks together to protect the stitches from blowing, although this is not always the case.
- Recovery experiences vary; some individuals report being able to sit and return to work within a few weeks, while others take longer.
- Follow-up visits with the surgeon are crucial for managing recovery and addressing any complications like leaks or infections.

3. Emotional and Psychological Aspects:
- Concerns about privacy and embarrassment are common but generally, privacy is maintained during recovery.
- The emotional impact of the surgery varies, with some finding humor and pride in their new situation post-surgery.

4. Practical Tips for Comfort:
- An electric reclining chair can be very helpful in the first month post-surgery.
- Soft latex cushions are recommended over hard surfaces or specific types like donut cushions.
- Lightweight and loose clothing can help avoid irritation and discomfort around the surgery site.

5. Long-term Outcomes:
- Most individuals adapt well over time, with improvements in sitting comfort and overall quality of life.
- The surgery can significantly improve symptoms related to the original medical issues leading to the ostomy and subsequent surgery.