Lipedema Surgery Vs. Non-Surgical Care… Do I Have To Choose?
Release Date: 01/01/2026
MCAS vs Histamine Intolerance Why Your Body Reacts to Everything (And You’re Not Crazy)
Dear body, I’m listening
“A reaction is not a moral failure— it's information. Your body is just responding to something, and right now it's giving you signals that it doesn't want that or it needs some extra help.” —Donna Piper When every meal feels like a risk and symptoms seem to come out of nowhere, it can start to feel like the body has turned against us. Many in the chronic illness community are stuck between labels like “histamine intolerance” and “MCAS” while still getting no clear plan or validation. This conversation names what is happening in the body and why it is not “all in...
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“Rest isn't a character flaw. It's what your body needs in order to heal from these invisible illnesses. And for some of us, it's also a grief process, because we're not just resting from task; we’re resting from the version of ourselves who thought we had to earn love through output.” —Donna Piper Ep 36 Shownotes: Podcast Platforms We talk about rest like it is simple, but for many bodies it brings guilt, fear, and shame. When worth gets tied to productivity, stopping can feel dangerous even when the body is breaking down. This conversation meets the tension...
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Is It POTS? When Standing Up Feels Like a Trap
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“You're not making it up. You're not weak, you're not failing. Your body is working hard to keep you upright, and you deserve support that matches the reality of that.” —Donna Piper Standing up should not require strategy, recovery time, or mental math. When heart rate spikes, dizziness hits, and showers wipe us out, the hardest part is not the symptom. It is being told nothing is wrong while our body says otherwise. Donna shares lived experience with POTS, dysautonomia, and multiple comorbidities, blending physiology with trauma-informed insight. Her work is shaped by years...
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Traveling with Chronic Illness: Germany Edition
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“If you're traveling with chronic illness, I want you to hear me. There is nothing wrong with you. You just have to prepare a little bit. You deserve to travel in a way that doesn't punish you, that helps you, that makes you feel good.” —Donna Piper Travel takes more out of the body than most people admit. For those living with chronic illness, the cost shows up before the suitcase is even packed. Energy drains through lines, noise, time pressure, swelling, and the fear of crashing far from home. Donna shares her real-time approach to spending a month in Germany while...
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Pack, Move, Fly, Heal: Why I’m Choosing Germany for Lipedema Surgery
Dear body, I’m listening
“Movement and less pain is why I'm doing this and why I've chosen to go to Germany.” —Donna Piper Big life changes rarely wait their turn. When health decisions collide with exhaustion, logistics, and uncertainty, clarity matters more than certainty. Donna shares the personal and medical reasoning behind traveling to Germany for lipedema surgery while managing multiple chronic conditions. This episode traces how lived experience, failed conservative treatments, and the need for long-term care shaped a choice rooted in mobility, pain reduction, and nervous system safety. Press play...
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Lipedema Surgery Vs. Non-Surgical Care… Do I Have To Choose?
Dear body, I’m listening
“Anything you choose is not weakness. It's the best for you… Instead of thinking surgery or no surgery, try this question: ‘What would make my next step safer?’... Safety is a step, not a switch.” —Donna Piper Pressure around medical choices can turn care into panic. When the body is complex and money, time, and fear are involved, certainty starts to feel like a deadline. This conversation slows that moment down and gives it room to breathe. In this episode, Donna shares her lived experience navigating lipedema and the long road of conservative care, research, and...
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Hot Flashes, Heavy Legs: Lipedema Meets Perimenopause & Menopause
Dear body, I’m listening
“Lipedema is not a willpower issue. Shame is not a treatment plan. Late diagnosis does not mean late reality. It means late recognition. Your best advocate is yourself. There's nothing wrong with you. You've just been navigating a body that hasn't been understood by the medical world yet. Be gentle with your capacity. Meet yourself where you are.” —Donna Piper Bodies can change in ways that do not follow the rules we were taught. Pain, swelling, and heaviness show up, and the explanations never quite fit. Many women carry this quietly for years, assuming it is just weight or age....
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How Trauma Rewrites Pain Part 4: Flare or Trauma Response? When the Body’s Signals Get Confusing
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“Flares and trauma responses often look the same because fascia remembers, the nervous system protects, and the immune system overreacts to help defend itself, and the body is trying to keep you alive, not confused. So your job isn't to decode perfectly. Your job is to offer safety consistently, because when the body feels safe, the symptoms soften, and when the symptoms soften, the story changes, and when the story changes, the healing becomes possible.” —Donna Piper The body can shift from steady to overwhelmed without warning, leaving confusion about what just took over. Pain,...
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Transformation Boundaries: Protect Energy And Design A Purposeful Life with Didi Selwa
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“Move forward, take action. It may happen, it may not, but it's just about putting one step in front of the other— doing that is so important. When you go forward, you realize, ‘oh, that's not for me’, but in the process, you discover what is.” —Didi Selwa Drop the guilt of being stuck and discover a movement that meets your body where it is. Press play to hear how embodiment, faith, and small practical steps shift shame, chronic illness limits, and stalled dreams into forward motion. Didi Selwa went from a 25-year banking career to a Certified Transformational Life...
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The Science of Feeling Safe: Gentle Practices to Regulate Chronic Stress with Ann Diment
Dear body, I’m listening
"We are the experts in our well-being and our own bodies, and it's important for us to advocate for ourselves. We're not defined by our past. Our past is gone. It's in the past, and the beliefs we formed about ourselves based on what we've been told by other people or experienced in the past aren't necessarily true." —Ann Diment Some seasons of life push us past our limits, and the body keeps score long before we understand why. Many of us try to outwork the chaos, yet the real shift begins when we finally question the version of resilience we were taught to admire. There is a quieter...
info_outline“Anything you choose is not weakness. It's the best for you… Instead of thinking surgery or no surgery, try this question: ‘What would make my next step safer?’... Safety is a step, not a switch.” —Donna Piper
Pressure around medical choices can turn care into panic. When the body is complex and money, time, and fear are involved, certainty starts to feel like a deadline. This conversation slows that moment down and gives it room to breathe.
In this episode, Donna shares her lived experience navigating lipedema and the long road of conservative care, research, and choosing surgery without shame or urgency. Her perspective is shaped by years of dismissal, chronic symptoms, and learning to trust the body again.
Press play and walk your healing journey at your own pace.
We cover:
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Lipedema surgery vs non-surgical care and why it is not an either-or decision
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Decision paralysis, medical trauma, and fear-based choosing
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Conservative treatments like compression, lymphatic care, and supportive movement
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Pain, mobility, swelling, and quality of life considerations
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Money pressure, timelines, and realistic recovery expectations
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Why not ready is a valid and protective choice
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Nervous system safety and building trust after being dismissed
Connect with Donna:
Website: https://www.donnapiper.com/
LinkedIn: https://www.linkedin.com/in/donnapiper
Instagram: https://www.instagram.com/lipedema_donna
Facebook: https://www.facebook.com/thedonnapiper
YouTube: https://www.youtube.com/@thedonnapiper
Episode Highlights:
02:16 Lipedema Surgery: The Financial and Emotional Pressures
04:41 Lipedema Surgery vs Non-Surgical Care
08:33 Lipedema Management and Support
15:14 Navigating Medical Trauma and Decision-Making
17:11 Myths and Misconceptions About Lipedema Treatment
27:05 Creating a Decision Container
38:30 Supporting Women in Their Health Journey
Resources:
🤔Got a question for me? Every month, I do a listener coaching episode—and I’d love to hear from you!
Send your questions, stories, or flare-up confessions to donna@donnapiper.com, and you just might hear your answer on the show.
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There is no “right” choice—only the one that fits your body. This episode unpacks the surgery vs non-surgery dilemma, fear loops, and how to decide without pressure. Listen for grounded truth, not ultimatums.
#DearBodyImListeningPodcast #lipedema #healthdecisions #bodywisdom #chronicillnesssupport #selftrust #bodyautonomy #lipedemaawareness #chronicpain #medicaltrauma #selfadvocacy #healingjourney
Quotes:
07:02 “With Lipedema, it's always trial and error. Not everyone's body responds the same way as someone else's body does. Listen to yourself, trust your intuition, and do your research, because education is what's going to help you.” —Donna Piper
09:40 “Medical trauma and uncertainty equals decision paralysis.. When you're being asked to make a big medical decision inside a system that didn't protect you, of course, you're spinning.” —Donna Piper
11:10 “The panic you feel is not proof that you're behind it's not proof that you need to make one decision over the other. It's proof that you care and the decision is real, and you're taking some time to really weigh out your options.” —Donna Piper
19:45 “If you make any decision of panic or feeling pressured, then you're never going to feel peaceful, even if it's the right one.” —Donna Piper
20:29 “Surgery is not just this thing that is going to make everything better. In some cases, it may not be the right thing for you, so just know that opting for whatever care and how you piece it together is the best thing for you. It's not one or the other.” —Donna Piper
25:00 “Anything you choose is not weakness. It's the best for you… Instead of thinking surgery or no surgery, try this question: ‘What would make my next step safer?’... Safety is a step, not a switch.” —Donna Piper
29:59 “None of this is the perfect choice, because the lipedema is not perfect at all.” —Donna Piper
30:56 “If you're not ready to make any decisions, that's also a decision. Take some pressure off yourself to explore some things again.” —Donna Piper
32:45 “Don't let shame be your surgeon… Shame is not a pre-medical professional. Shame doesn't get a vote. Just let the goal of your quality of life guide you.” —Donna Piper
35:44 “You don't have to make a choice. You're not required to choose at all, let alone from a place of fear. This isn't a test of your toughness or your the best decision-making. It's really about your body's decision, and it deserves time, tenderness, and clarity.” —Donna Piper
37:20 “Sometimes, the most healing thing is realizing that you're not alone in the mess of it. Whatever you choose, let it be rooted in agency, not shame.” —Donna Piper
Your Host:
Donna Piper is a Relationship Coach, Trauma Expert, and Akashic Records Healer dedicated to empowering successful single women to transform their love lives and attract fulfilling partnerships without sacrificing their professional ambitions.
With a holistic approach blending therapeutic coaching, trauma-informed techniques, and Akashic Records wisdom, she guides clients to release limiting beliefs, heal emotional blocks, and cultivate unshakable self-trust. Her work focuses on aligning mind, body, and spirit to create lasting change—helping clients refine communication, deepen self-worth, and build the foundation for healthy, loving relationships.
Donna’s sessions are a safe haven for those ready to break cycles, embrace vulnerability, and design a love life that harmonizes with their thriving careers. For women committed to both personal and professional fulfillment, she offers tailored strategies to unlock their full potential and step into the relationship of their dreams.