Survivor since 2012
I've had both. The first time I had cancer I had just a straight reconstruction, where they left enough skin to put in an implant. The second time I had a tram-flap, where they take skin, fat, and tissue from your abdomen. It's like having a tummy tuck with extra benefits! (Not a bad thing after 4 kids.)
But its a long recovery period and the initial pain is pretty bad.ive heard the same for the (?latissmus flap?) surgery you're thinking of having. Because the surgery is near a major muscle group you can't do much for a while -- lifting and things like that.