Had one about 8 years ago. I had previously had two C sections, in my 20's. My C sections were vertical due to my son already being in birth canal for many, many hours prior. Anyhow, my gyno said the horizontal was an easier recovery for the hysterectomy due to the direction the muscles are cut through. Made sense when I thought about it. She said less chance of tearing after surgery. At my age, not worried about scarring so that is what I did. I actually started with some Walking workouts (Leslie) as soon as possible. Within 6 weeks, I was doing my regular Cathe. As far as pain, I have a low threshold for pain, but did well after the returning home. Follow the advice of the Doc, and your body. You will do well.