I'm on Christine McGinn's 5 times a day regimen, and find it difficult to do. I'm healing a little more slowly than we would like, and part of the routine is massaging some granulation tissue around the bottom of the introitus. So, I have 5-10 mins with dilator #1, then 30 mins with #2, followed by 15-20 mins massaging. All together, each dilation runs an hour. Also, she's had me return for 2 followups, and scheduled for another in a month. All so well worth it though. I feel she is the very best surgeon out there! Last time she did silver nitrate treatments which made a huge difference. Now....if I were still working, this would be impossible. I think I'd have to go on short-term disability.