Sylvia:

    probably with assistance she could latch baby without nipple.. it is not
essential to bf.. whattoo often happens is that Barbara Wilson_Clay so
eloquently describes in her article in Dec JHL... super stimuation from
another "object" placed in the baby's mouth...

    she would do well to arrage a birth assist or lc to be with her for del
to assure that the first thing in that babies mouth was her breast... baby
know's no other and should do fine.

   i agree with posts that once one does surgery, all bets are off...