Sharing my experience with HIPEC in 2020 as I know I wanted to learn as much as I could about the procedure before my surgery. I had been diagnosed with appendix cancer in June 2020 and did FOLFOX chemo after my initial surgery where my cancers was found. I had a tumor on my fallopian tube that stemmed from mucinous adenocarcinoma of the appendix but that wasn't understood until my surgery to remove that 5cm tumor. Knowing this was a mucin-based cancer I gravitated to HIPEC because I was concern about what could be floating around and later developing into cancer since my first surgery was done by OBGYN Oncologist not specializing in the disease. My Mayo team suggested a right hemi-colectomy (removing part of my colon as a precaution) surgical debulking removing mucin and anything concerning in the peritoneum) and HIPEC. My surgery was done after 6 rounds of chemo which I would classify as more difficult than the HIPEC procedure and the subsequent recovery. I was told not everyone is a candidate and that my overall health would be considered in determining if I would see successful treatment and recovery. I was very healthy, active and fit going into the procedure and that helped me tremendously. My procedure lasted 11 hours and when I woke up a was nauseated and out of it until the following day. It was an expansive open surgery, so I had a sizable scar from just above my pelvic bone to under my breast. On day two the doctors wrote on the white board that I should walk three times a day so as impossible as that seemed I did it. It helped my system get back to normal quickly and I was discharged after only 5 days. In a nutshell the hardest part about HIPEC is the exhaustion and lack of abdominal muscles. A good combination of walking and naps got me to a quick return to work after 8 weeks. Slowly life return to "normal" after about 4 months. More than 3 years later I have scars but am NED and back to my active life. If necessary, I would do this procedure again in a heartbeat, at Mayo Clinic with Dr. Grotz of course.