It is completely normal to feel scared and anxious. You see, we are naturally scared of things we do not know or things we do not understand. In order to overcome fear, you must educate yourself as much as possible about the surgical process. For example, you asked whether you will feel them cutting you open…the answer is no because you will most likely be under general anesthesia where you are made unconscious. Even the incision surgeons will make will be small and it will be a blood-less dissection due to electrical cauterization – which uses heat to close blood vessels. When there is less bleeding, there will be less pain when you wake up. The source of all this anxiety could be reading through tonnes of reviews of breast augmentation. Of course, if you read negative reviews, you are more likely to become anxious, but if you read more positive reviews, you are more likely to become excited about the surgery. You have to realize that one patient is not like another, so taking those negative reviews and applying it your own case is pointless. In fact, even the breasts in the same individual are never entirely the same which is why we may see that certain complications occur only in one breast and not the other. Please know that compared to the number of people who get BBAs each year (over 300,000) compared to the number of negative reviews you read, you will realize 2 things, 1) those with negative results are more likely to share their story, 2) compared to positive results, the likelihood of negative results is highly uncommon. So I urge you to look into the likelihood of the complications that are scaring you. In fact, if you were to look at the list of complications to any surgery, or number of side effects to any drug, you would be more likely to reject the surgery or drug. The point to understand is not that there are many risks, but rather the rate of occurrence (i.e., incidence rate of the complications) For example, infection is a very dangerous complication that could destroy BBA results, but the chance of infection following breast augmentation is 1% which means that there is 99% chance you will not get an infection. See how if you change the point of reference, things look much better. This is because of the psychological effect our body has to negative information. Another example - many patients read blogs from others about how they are terrified of general anesthesia and start worrying excessively. They will read things such as, “oh, what if I wake up during surgery…oh what if I do not wake up at all?” These are worrisome questions for sure, but again, they are also highly unlikely situations as you will be supervised during surgery by a board-certified anesthesiologist and the whole surgical team. Nevertheless, I would like to list the things you can do to prepare for the surgery and to help with recovery. Note, I am listing things to make recovery easier and they do not serve as instructions for recovery (i.e., after surgery, you have to avoid intensive exercise for 6 weeks, you may have to take antibiotics, do breast massages, wear sports bras, etc.) Firstly, if you smoke, then please stop smoking – 1 month before surgery. Smoking a cigarette within the month of the surgery can double your risk of infection. Smoking will also cause delayed wound healing, so it is important to cease smoking for 1 month after surgery as well.If you have children, then have someone ready to take care of them for at least a week.If you have a dog, have someone to walk the dog at least for 2 weeks. Please arrange for someone to drive you to and from surgery and accompany you for 24 hours right after surgery – most patients bring ask a friend to help.You do not want to have a lot of work waiting for you after surgery, so do them beforeCook extra food ahead of time, or you can simply order food if you are not recovering at homeYou may start a healthier diet and engage in physical exercise, and avoid alcohol few days prior to surgery.Make sure to inform your surgeon of all your medications – natural and pharmaceuticalYou may have to stop some medications like aspirin and ibuprofen as then can increase bleeding.The night before you will stop eating or drinking anything. In the morning, you can brush your teeth while avoiding swallowing water.You will also need to take shower and wash the areas where surgery will take place using antimicrobial soapYou cannot wear any makeup, or put any moisturizer/lotion or deodorant. As you already know, you will also have to remove nail polish from one fingernail and toenail so that anesthesia person can monitor your blood circulation during surgery.Bring loose-fitting clothes that open in the front and comfortable flat shoes that slip on – you will need such clothes while you recover for the 1st week. Hope this helps!