Most patients are cautiously up and about the afternoon of their surgery day as the anesthesia wears off. During the first 24-48 hours after surgery, patients should place ice packs or frozen peas on their incisions to minimize swelling and bruising. Routine tasks are encouraged as long as there is no irritation or pressure at the incision sites and heavy lifting must be avoided. Loose clothing and cotton underwear “granny panties” are mandatory. By 72 hours you may resume regular activities, making sure there is minimal friction to the incisions. Patients may drive after 2 days as long as they are not taking narcotics. Patients may return to work within 4 days as long as rigorous physical activity is avoided, although a week off is ideal. During the 6 week recovery, patients are on pelvic rest (no intercourse or tampons) and should avoid bath tubs/hot tubs or swimming in the lake or ocean. Rigorous exercise, cycling, horseback riding, jet skis, motorcycles and four wheelers should be avoided during the recovery period.