The question about returning to sexual activity after surgery is very common. Now basically you can’t do anything that causes you to strain or activate your core muscles for the first 6 weeks. Also, because of the size of the wounds and the healing required you don’t want to be doing anything that gets your heart rate or blood pressure up too much. And of course the level of physical activity one undertakes during sex varies for each individual and often each time you’re having sex. So with all this in mind some generalisations can be made. Realistically you’re probably not going to be even thinking about for the first week at least. However officially, you should avoid any sexual activity for the first two weeks. Anything that gets your heart rate and blood pressure up is not ideal and any potential pressure etc on your abdominal wall and pubic area will potentially compromise your wound healing. When you do return to having sex, as previously stated, don’t undergo any sexual activity for the first 6 weeks that involves you being too active or activating your core muscles. So basically, up until the 6 weeks post op period, you are taking on a very passive role during sex! After 6 weeks, you can do what you like without any fear that you’re going to compromise your results. Obviously you will still be a little sore here and there but just let your body guide you. Ultimately common sense will tell you what’s right and wrong at this stage.