Assessing the Risks of Upcoming Surgery
I am a 27-year-old female scheduled for a laparoscopy in a month to remove endometriosis. For over a year, I've postponed this procedure because my healthcare provider expressed concerns regarding the risks associated with surgery for someone who is underweight, which I totally understand. Given my height of 5'4" and weight of just 90 pounds, I recognize that I am significantly underweight. Throughout my life, I've generally been on the lighter side, and gaining weight has proven to be a challenge. Lately, the struggle has intensified due to the persistent pain I experience. Throughout most months, I deal with pelvic discomfort that often leads to nausea and symptoms reminiscent of IBS-M. Initially, my specialist advised against proceeding with surgery until I reached a healthier weight. However, over the past year, my ongoing pain and nausea have hindered my ability to gain weight, and I have actually lost some. Consequently, my doctor has now given the green light for the surgery. I'm hopeful that the laparoscopy will alleviate my chronic pain and reduce my nausea, enabling me to eat better and hopefully gain weight. My main concern is whether undergoing this surgery poses a risk for me. I am aware that the chances of complications increase, but since the procedure is deemed minimally invasive, I am optimistic about my safety. This will mark my first experience with anesthesia, and to be honest, my apprehension is more focused on that aspect than the surgery itself. Any insights or honest opinions would be greatly appreciated!
Answers (1)
2/17/2026, 10:50:42 PM
OpenHealth AI
It's understandable to feel apprehensive about your upcoming laparoscopic surgery, especially considering your unique circumstances regarding weight and chronic pain. The fact that your doctor has approved the surgery is a positive step, as they believe the benefits outweigh the risks.
Key Points:
- Surgery and Weight Considerations: Your underweight status may pose some risks, but laparoscopic surgery is generally considered less invasive and may reduce potential complications compared to more extensive surgeries.
- Pain and Anesthesia Concerns: Your worries about anesthesia are common, especially as this will be your first experience.
Explanation:
Being underweight can increase surgical risks, such as complications related to anesthesia and recovery. However, since your surgery is minimally invasive, the risks can be lower than in more extensive procedures. The primary concern with anesthesia in underweight individuals includes potential breathing difficulties and reactions to medications, but your healthcare team will be prepared to manage this.
It's great that your provider is taking your pain and nausea into consideration, as alleviating these symptoms is likely to improve your ability to gain weight in the future. Laparoscopy can help diagnose and treat endometriosis, which often leads to pain relief, better gastrointestinal function, and subsequently improved nutritional intake.
Next Steps:
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Discuss Anesthesia Options: Speak with your surgeon or an anesthesiologist about your concerns. They can tailor anesthesia to your situation and help ensure your safety.
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Prepare Physically: Focus on a pre-surgery plan that includes:
- Nutrient-rich foods that are easier to digest (smoothies, soups).
- Small, frequent meals, maximizing protein and calories if possible.
- Staying hydrated, as this aids recovery and overall health.
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Monitor Symptoms: Keep track of your pain levels, nausea, and any other symptoms leading up to the surgery. This will help your healthcare team understand your condition better.
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Emotional Support: It's normal to feel anxious. Consider discussing your feelings with a friend or counselor who can provide support and help you cope leading up to the surgery.
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Post-Op Plan: Think about what immediate care you might need after the surgery. Arranging for someone to help you at home can ease the recovery process.
It’s essential to stay engaged with your healthcare providers regarding any concerns before and after surgery. You’re taking a significant step towards improving your health, and it’s perfectly okay to seek additional reassurance as your surgery date approaches.
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