I do NOT agree that most whipple patient experience horrific pain, pain, or spasms, and think a small percentage still need pain medicine weeks after the surgery. Those that have complications that worry them will seek out others and I am always fearful that those needing surgery for potentially curative surgery, to have a chance to survive, will hesitate and thereby reduce their chance at a long life. I think whipple requires respecting what we eat, how we take care of our bodies and what we put in it. Some of us need to avoid dairy for months, years, or longer and that alone will cause symptoms for some. Some will need enzymes and maybe prilosec/omeprazole with it. Most or all should take probiotics daily. Sometimes I think coconut milk products or aloe vera juice help GI upsets. I am nearly 2 1/2 years out and have many friends who are also whipple survivors of both types of surgery, have corresponded with a sizable number of whipple patients, and am not seeing pain complaints shortly after surgery or of an extended nature. For those needing a whipple, find a very competent surgeon and facility with a lot of practice in it fast and the questions could include complication rate. I personally find not being constipated to be a good state, so I find high fiber and going with frequency (not too loose or opposite) to keep a happier GI tract. I think more have to learn what foods and drinks they tolerate best. If we paint a picture as though the surgery is something to fear (a bad thing) when it is a chance at a life (a good thing), then we do not do each other a service. Good luck to all.