If part of your LBL includes a tummy tuck, you might consider a short term rental of an electric recliner. It will be very painful for you to sit up from a lying flat position for a long time. I slept in one of those chairs for a week or two. Ask any woman who has had a C-section and they will be able to vividly describe what having your stomach muscles cut is like.
Also, I would suggest you get a walker for the tummy tuck. At first you won't be able to stand up straight as the skin and muscles are so taut. Using a walker will make walking in a bent over position more comfortable.
I had a tummy tuck years ago and it was worse than any C-section (I had that too). If you can't get an electric easy chair, then be sure that you fix up your bed so you can sleep sitting up. I made the mistake of lying down and it took me 5 minutes to crawl from the middle to the edge of my queen size bed.
Wear the compression garments for the recommended length of time. If you can wear them longer than that, then go for it. As you continue to shrink, you might need to purchase a smaller garment.
Be patient with yourself and your appearance. Your body will continue shrinking bit by bit for up to a year.
What about your butt? Will it be flat? Will he be stitching the stretched muscles back closer together as he would with the abdominal muscles in a tummy tuck?
My niece was going to have butt implants from Dr. Mendieta (who is famous for this) in Miami. At the last minute she decided to have lipo from other areas and have that injected into her butt It worked out quite nicely and her butt still looks really good almost 8 years later. The butt implants have an incision made very close to the rectum and it is very easy to get the incision infected.
The other information you have received about staying on top of your pain medication is spot on. Some people thinkk that you should wait untl you can't bear it anymore and then you break down and give in to it. This is just stupid. Take it when it is prescribed to be taken. Your body won't heal as quickly when you are in extreme pain.
Plus, do NOT wait until you are constipated before you start taking some kind of gentle (like Senokot) laxative. Start taking that as soon as possible following the surgery. When my husband was getting his chemotherapy, we found that he got horribly constipated and the only thing that helped was starting a course of laxatives at the same time he was receiving treatment.
Finally, go easy on yourself. You have probably already learned this from when you had your VSG. If you start feeling depressed or anxious like something is terribly wrong with your life, or the world, then stop and take a breath. Remind yourself that things have not changed. It's like the emotional equivalent of taking acid and having a bad trip. The world around might seem terrible, but you can give yourself a mental shake (haha, not a McDonalds type shake) and tell yourself that your bad feelings are just exacerbated. They really aren't the real deal.
Another comparison: Let's say you have a very bad sunburn on your back, but you are wearing a shirt and no one sees it. Something as simple as a hand on the shoulder can be excrutiating, when under normal cir****tances you wouldn't think twice about it. I refer to this emotional over-sensitivity as being "mentally sunburned". A minor irritant that normally wouldn't bother you can just absolutely send you through the roof. Be aware of this so that you can talk yourself out of it.
I am very excited for you!