It was "bad", meaning surgery under full anesthesia and being opened up 6". Dr. told me that he spent 1 1/2 hours just cleaning up the adhesions only. I also had other issues. He told me that you cant have it done lapro because the adhesions are on top of each other and he needs to see them all simultaneously. Then of course there is the painful healing time like after your first surgery. But, like I said, to me it was worth it. I had my last surgery 2007 and haven't had a need for more since then.