The topic is about preparing for a surgery known as a "Barbie-butt" or proctectomy, which involves removing the remaining part of the rectum and surrounding tissue. This is a follow-up procedure for someone who already has a permanent ostomy after previous cancer surgery. The person is concerned about what to expect during and after the surgery, including hospital stay, use of medical devices, pain management, and recovery. Here are some insights and advice shared by others who have gone through similar experiences:

1. Hospital Stay
- Most people stayed in the hospital for 3 to 7 days, with some leaving on day 3 or 4.
- A few had longer stays due to complications like blockages or additional procedures.
- A 2-day stay is possible if the surgery is straightforward and the patient already has an ostomy.

2. Medical Devices
- Feeding tubes are rare; most patients start with ice chips and progress to solid food by day 3.
- Abdominal or pelvic drains are common, with some patients going home with them for 1 to 2 weeks.
- Foley catheters may be used if the bladder is slow to recover.

3. Pain Management
- Initial pain relief often involves narcotics, but many switch to acetaminophen by day 3 or 4.
- Stitches can be uncomfortable, and surgeons can adjust them if needed for relief.
- Removing deeply embedded stitches can be painful for some.

4. Comfort While Sitting and Traveling
- Expect soreness for 4 to 8 weeks.
- Use cushions or pillows for comfort and try to recline or lie on your side.
- For the car ride home, be a passenger, use a pillow, take pain meds, and plan for rest stops.

5. Activity and Healing
- Walking soon after surgery helps with recovery.
- Avoid prolonged sitting in the first week to protect the wound.
- Incision tenderness and skin tightness may last 6 to 8 weeks.

6. Watching for Complications
- Be alert for signs of infection like redness, swelling, or fever.
- Drains should stay in long enough to prevent fluid buildup.

7. Returning to Daily Life
- Avoid driving until you can do so without pain, usually after 3 to 4 weeks.
- Many return to light work or normal routines in 4 to 6 weeks.

8. Mindset and Preparation
- Discuss any questions with your surgical team before the operation.
- Many find this surgery easier than the initial colectomy.
- Staying positive helps, as life tends to return to a "new normal" quickly.