I use an AquaGuard to shower when the port is accessed. Obviously if it isnt accessed you don't need anything. As for the surgery itself, I was actually fully sedated because I had a G-Tube placed and my gallbladder removed at the same time. Even though I was on pain meds, none of the pain came from the port site- mostly from the G-Tube- I had talked to others about it and it seems to be the same experience across the board. It is much easier now that I have the port, since I can do a lot more activities than with the PICC and it is not that noticeable (I got the smallest one because I am mad thin). Accessing it is easy, and I like it more than a regular needle for lab draws because it doesn't really hurt (especially after a few accesses)