Hi Michele,
Please tell your friend to have her mom get another opinion. There must be another reason why she can't have the TRAM because I had a c-section and other abdominal surgery and still had a TRAM flap. There are other options out there too like the GAP (from the butt) so she shouldn't just accept this if she feels it's not what she wants (if the surgeon she went to doesn't perform GAPs or DIEPs he wouldn't have informed her about them, she needs to seek out a plastic guy who does them). I believe with the latisimus flap you most likely need an implant as well. I hope she is not so much under the gun that she can't properly research her options. I wish her luck.
Susan
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