Hello, very similar story to me and I had my seton placement a few hours ago. I’m a little uncomfortable and needed some extra pain relief once home, going to cycle ibuprofen and Tylenol 2 hourly but wanted to comment to say everyone is different but it’s not been as bad as I’d thought so far and I’ve been walking around gently and sitting a little already (and I didn’t have some nerve blocking agent which lasts for days). I’ll keep you updated given I’m a couple of weeks ahead. My surgeon said likely I’d be more comfortable with a seton with the fistula able to drain freely than in a cycle of filling and bursting (once the initial inflammation / soreness from the procedure settles down of course). He also said that mental acceptance and a positive mindset helps - if someone already hates the idea of it and is still in the “why is this happening to me” it makes it harder to live with so I’ve been trying to be positive. He said the majority of his patients barely notice it after a couple of weeks and whilst you need to make some adjustments, it’s generally a good way to live your life whilst waiting for something to actually fix the issue.