Ah sis, honest, yung pain depends talaga sa bawat tao, pero from what I hear from a few of my mum friends na nag-ligate after CS, mas manageable sila compared sa CS recovery mismo kaya don't worry too much. The good news is your OB-GYN na ang makakaalam best about your situation since you'll have had four CS na by then, seryoso talaga ire-review nila kung okay ka pang for the procedure or if they can combine it with your CS pa lang to minimize recovery, kaya make sure you discuss all your concerns with your doctor, especially about pain management at healing.