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...