the perineum was seriously painful to sit on for perhaps 12 weeks and even a doughnut pillow didn't help.
surgeon did the big c-section incision across belly to get at the colon and it must sever the muscles quite a bit so I definitaly have the plump tummy and especially above the pubes but it does add to the fem shape in skirts so its OK.
did your friends surgeon go in from below?
why did she stop dilating? Mine was really sore around the outside where the colon had been sewn to the natural skin and it stayed raw and red for ages so I had to stop dilating for a couple of weeks and was really worried about it closing up until I could get to surgeon and he opened me up with a dilator - I howled like I was giving birth. then he gave me a smaller dilator to start things off each time and that made dilating OK.
Your friend should get a small dilator or a Lady's Finger ribbed vibrator and open herself with that two or three times a day.. Its painful but can be done
I have three dilators with smallest being about 3/4 inch 20mm which slides straight in each time, then I follow with the next one of about 28mm and then use the biggest.
smell was a problem for about 4 months as the colon was still producing lots of mucus but now its figured out it doesn't need to so it is a lot less.
Smell now is actually just borderline sexy.

surgeon was very fixated on giving me lots of depth and insisted on me persevering until I was taking all the 7inches of both the small and medium dilators. Do guys expect to have so much depth available for their delight? I was worried that such a depth might make it hard to clean right to the back but it seems the colon does do the self cleaning contractions.
I also need to mention that until about 3/4 weeks ago I was getting the spasm/ejection of lube mess and water after each post-dilation douching which I assume is the colon contracting to clean itself out.
I do get lots of odd twinges and stings from around the opening but I assume this is nerves reconnecting or perhaps cut nerves just being irritated by my knix.
Another thing I notice is that the pubic hair has grown really thick and long. seems strange but then for most of my adult life I kept my male bits shaved to make them as emasculated as possible but now I quite like having a nice female shaped patch of pube hair..