I work a very physical job. I took a month off, and that worked well. Had to give myself more time...6 weeks, before doing any reaching over my head. Not that it was painful, just did'nt want to pull on the scar tissue. The biggest thing with doing anything physical after top surgery, is to minimize the scarring. The other thing i did, was to put everything i thought I might need, on my kitchen table. That way , I would be reaching for nothing.