Heavy lifting/pushing by my doctor is considered anything that makes you grunt, moan/groan, hold your breath, or strain. I follow that. I am three years after surgery. I was repaired in three places by polyester, wire, and a stent. I began using a cap after surgery. It is the best thing I ever did. Ask them what insurance would they take. I use Mayo in MN and I winter in Lake Havasu AZ. Mayo informed me if I ever got in trouble to be sent to Mayo in AZ immediately. So I know my out of state insurance works there. I have Blue Cross/Blue Shield.

Best wishes.