This is the second guest column by Rachel Andrews of Gloucestershire, U.K., a Breast Cancer News reader who developed severe lymphedema as a result of her cancer and underwent a microsurgery procedure intended to correct that condition. Rachel described the procedure, called LVA, in her May column and now returns for a one-month update, informing readers about the procedure and how recovery is going for her. On May 30, I chose to have LVA (lymphatico-venular anastomosis) surgery in an attempt to treat the lymphedema that developed in my left hand and arm as a result of breast cancer. Here is an update on how the surgery went for me, and my hopes for how recovery will continue to go. The procedure was to be undertaken using local anesthetic, so I was able to have my breakfast. I walked to the anesthetic room and was greeted by two surgeons. The plan was for the two surgeons to work alongside each other throughout the surgery. It was anticipated to last between four and six hours, so I was offered a urinary catheter, which I declined!