After years of thinking about a TT, I decided to take take the plunge at age 44. My history is not unique -- my children were both almost 10 pounds when they were born and my skin had stretched as a result. Every time I looked in the mirror or wore a bathing suit, I was unhappy with the way my skin sagged.
I only interviewed one doctor because I was utterly impressed with the one I was referred to my my primary care MD. Once I spoke with him, I never looked back.
My surgery took place on 12/15/09 and am almost 4 weeks out now. The first 24-36 hours were rough though managable. Thank heaven for a recliner to sleep in that first week. My Mom and husband were a big help the first 3-5 days. Having them here meant I didn't have to get up and down frequently - only to go to bathroom. If you are prescibed narcotics for pain - and you likely will want them - I would advise considering a stool softener that first week. Narcotics tend to cause constipation (not fun with TT).
For me the only con was the drainage tube. I have had mine almost 4 weeks (more of an annoyance than anything). I love my new belly and am looking forward to a bikini this summer for the first time in 20 years. If you are trying to decide to have this done or not, I would encourage you to go for it and not look back.