I hope that your surgery will be a success and that you are relieved of pain period. ARD can get worst thru the years if not properly taken care of. The more surgery you have the worst it can get. You should ask your surgeon if there is anything he knows of that could prevent adhesions from coming back. You ought to go to http://www.adlap.com and speak with one of the specialists there before your surgery so that you will understand better what you may go thru. I hope this will help you. Dee