15 FAQs How To Safely Return To Exercise After Pelvic Surgery

1. How soon can I start exercising after pelvic surgery?

It depends on the type of surgery and your healing progress, but most people can start gentle movement like walking within a few days, and begin pelvic floor rehab or core work around 4–6 weeks, with medical clearance.

2. What types of exercises are safe in the first few weeks?

Early on, focus on deep breathing, gentle walking, and posture awareness. These promote circulation and healing without stressing the surgical area.

3. Is it okay to do Kegels right away?

Not necessarily. Many people are told to "just do Kegels," but this can lead to tension or overuse. It’s best to get assessed by a pelvic floor physical therapist before starting pelvic floor exercises.

4. How will I know if I'm doing too much too soon?

Warning signs include:

• Pelvic pressure or bulging

• Leaking urine or stool

• Increased pain or fatigue

• Spotting or unusual discharge

• Feeling “off” or unstable during movement

5. Can I walk for exercise?

Yes—gentle walking is encouraged and can be safely increased gradually as you feel stronger. Avoid hills or long distances in the early weeks.

6. What kinds of exercises should I avoid at first?

Avoid:

• High-impact activities (running, jumping)

• Sit-ups or crunches

• Heavy lifting

• Breath-holding or bearing down

• Any movement that causes discomfort, pressure, or leaking

7. How important is breathing in recovery?

Very! Diaphragmatic breathing helps restore the natural coordination of your core and pelvic floor. It’s often the first and most important exercise post-surgery.

8. What’s the role of physical therapy in my return to exercise?

A pelvic floor PT will assess your strength, posture, and symptoms to create a personalized plan—ensuring you return to exercise safely and confidently.

9. When can I return to strength training or weights?

Usually after 8–12 weeks, depending on your healing and symptoms. Start with low resistance and focus on form and breath control before increasing intensity.

10. Is yoga or Pilates safe after surgery?

It can be—with modifications. Avoid crunching, deep twists, and inversions early on. Choose gentle, core-supportive styles and work with a trained instructor if possible.

11. Will I ever be able to return to high-impact workouts?

In many cases, yes. But you need to rebuild your core and pelvic floor foundation first, then gradually increase load and impact under guidance.

12. I feel fine—can I just go back to my regular workouts?

Even if you feel okay, your internal tissues may still be healing. Returning too quickly can risk setbacks like prolapse or muscle strain. Progress gradually.

13. Can exercise help with post-surgical symptoms like leaking or pressure?

Yes—targeted rehab exercises can improve pelvic support, reduce leaking, and ease pressure. But generic workouts may not be enough. Work with a pelvic specialist if symptoms persist.

14. How long will it take to feel "normal" again?

Full recovery varies, but most people feel stronger within 3–6 months. High-level fitness may take longer. Be patient, and celebrate each step forward.

15. Who should I talk to before restarting exercise?

Check in with your surgeon, primary care provider, or ideally a pelvic floor physical therapist who understands post-surgical recovery. They’ll help guide a safe, individualized plan.