I was very apprehensive too, but the accidents when sneezing or coughing or laughing were getting worse by the week. Had surgery last October 2009 - very glad I did. Just had 4 little 1/2 inch incisions was in Hosp overnight, the for first couple weeks no lifting anything heavier than a jug of milk after that the Doc just said to be very careful on lifting patients (I work in an ER) try not to strain and be careful not to get constipated because this could also cause too much strain. I now love not having to run to the bathroom every time I take a sip of tea.