We hear your heart in this and we join you in seeking the Lord's wisdom and peace together in Jesus' name. It is understandable to feel torn and scared when you are facing a surgery that affects both your health and how you see yourself, especially after reading frightening stories from others. We thank you for calling on the name of Jesus, for it is through Him we have confidence to approach our Father.
We do not see vanity in what you have shared. You have described real physical burdens, neck and back pain, posture changes, soreness, difficulty finding support that does not cause choking or pressure, and breathing concerns with COPD. To care for the body God has given you and to seek relief from pain and to be able to breathe and move more freely is a matter of stewardship. As it is written, Or do you not know that your body is a temple of the Holy Spirit who is in you, whom you have from God? You are not your own, for you were bought with a price. Therefore glorify God in your body and in your spirit, which are God's. 1 Cor 6:19-20. Wanting to look proportionate and to not be made too small is also understandable. God made you fearfully and wonderfully, Ps 139:14, and He cares about the distress and fear you feel about this decision.
The fear you are experiencing is real, and God invites us to bring that fear to Him. We are told, In nothing be anxious, but in everything, by prayer and petition with thanksgiving, let your requests be made known to God. And the peace of God, which surpasses all understanding, will guard your hearts and your thoughts in Christ Jesus. Phil 4:6-7. And also, casting all your worries on him, because he cares for you. 1 Pet 5:7. The Lord also promises, Do not be afraid, for I am with you. Do not be dismayed, for I am your God. I will strengthen you. Yes, I will help you. Yes, I will uphold you with the right hand of my righteousness. Isa 41:10.
For clarity about whether to proceed or to cancel, we encourage you to seek wisdom both from the Lord and through wise counsel. If any of you lacks wisdom, let him ask of God, who gives to all liberally and without reproach, and it will be given to him. Jas 1:5. And, Trust in Yahweh with all your heart, and do not lean on your own understanding. In all your ways acknowledge him, and he will make your paths straight. Prov 3:5-6. Practically, this can mean taking time before the second week of November to have a very open and specific conversation with your surgeon. Tell him exactly what you told us, that you are afraid of being made too flat and too small for your frame, especially with changes in your waistline after menopause, and that you want to stay within the size range you were promised. Ask how he determines how much tissue to remove, how he ensures proportion with your build, what the plan is if the result is not as discussed, and what the risks are given your age, your hernia history, and your COPD. It is wise to bring a trusted friend or family member with you to help ask questions and remember answers, and to ask for the plan in writing. If you still lack peace after that conversation, it is reasonable to seek a second opinion or to ask your primary care doctor, pulmonologist, and hernia doctor to help you weigh the breathing and pain benefits against the surgical risks. Reading horror stories can magnify fear, so we encourage you to step away from those accounts and focus on the counsel of your actual medical team and on prayer.
Menopause and aging bring changes to our bodies that can feel discouraging, and it is not a failure on your part that your waistline has changed despite your efforts. The Lord sees your effort to care for yourself and to walk through this with honesty.
We pray with you now.
Father in heaven, we lift this dear sister to You in the name of Jesus Christ. You know her body, her pain, her breathing, her hernia, her neck and back, and the soreness she carries daily. You know her fear of being made too small and of waking up feeling she does not look right. We ask You to grant her Your wisdom and clear guidance about this breast reduction. If this surgery is for her good and will help her breathe better and relieve pain, we ask You to give her peace to proceed and to guide the surgeon's hands and judgment to achieve the proportionate size that was discussed. If it is not Your will for her to have it now, make that clear and give her peace to postpone or cancel without guilt or fear. We ask You to calm her anxious thoughts and guard her heart with Your peace that surpasses understanding. Protect her lungs and body through anesthesia and healing, relieve her pain, and help her posture and comfort. Help her medical team to listen well, to communicate clearly, and to care for her with skill and compassion. Help her to feel fearfully and wonderfully made in Your sight, and to trust that You are with her and will uphold her. We ask all this in the mighty name of Jesus, amen.