@Djk
Everything is worse in the small hours. As a chronic night waker (nothing to do with bc) I have learned to occupy my mind with something else (cryptic crosswords or sudoku do it for me) otherwise my brain will be off on some long narrative, which may not be disturbing but will be sufficiently interesting to keep me awake! I found surgery pretty straight forward (and painless) but I didn’t have reconstruction. As reconstruction will be important to you in terms of your self image, see it as an investment. Whatever discomfort or difficulty you encounter will be worth it in the long run, like losing weight, passing an exam or anything else that takes determination and effort. Don’t forget to reward yourself on the way. This stuff isn’t a doddle!