As Brian says, the ND is a 'walk in the park' in comparison to the radiation treatments. Granted she will look like she has been 'run halfway through a guillotine' immediately after surgery, the scars will heal and no one will notice. Since she is having this done after radiation, if she has a good plastics guy doing the surgery, he can probably eliminate some or all the turkey necks symptoms many get after radiation. I've had two of these and the worse side effects have been to the muscles in the shoulders after the first one. Depends on what they have to cut. She may need physical therapy after surgery to strengthen shoulder. She needs to bite the bullet and get it done.

Take care,
Eileen