I had a mastectomy with 5 sentinal nodes removed. I was up doing fairly normal things the second day after my surgery. I never had one bit of pain... now I know this isn't probably the normal way a woman feels but that was the way for me. No pain medication at all. I was out cleaning my horse paddocks (scooping) a week afterwards. I felt some tightness which got better quickly. I never had any restriction in range of motion in my shoulder or arm. My surgeon was a young woman who specialized in breast cancer surgery. I chose her very carefully.... same thing with the anesthesiologist.... very carefully chosen. When I woke up after the surgery, I was wide awake, with no feeling of grogginess, and never had any nausea. I had to stay overnight in the hospital and that is where the nightmare happened. I might as well have been in a 3rd world country. Thankfully, my husband stayed overnight with me or I would have had no food and no care.... Ask questions.