Hi Cherri, I am in the process of reconstruction on bi-lateral.  It's honestly not that bad, but then again I have had so many breast surgeries I'm probably used to it by now. 

What will most likely happen first is the doctor will put in tissue expanders.  You'll wake up sore and with drains, but go home that same day as long as everything is ok.  For the next few days you'll be a little sore, but not terribly bad pain.  Then the dr will use a magnet to find out where to stick the needle for the saline injections.  That part does not hurt - you would think it does, but it really doesn't.  He'll inject as much saline into both sides that he can without causing you too much discomfort - and he'll try to inject the same amount per side.  You'll continue weekly injections for as long as needed until you reach the size you want.  Then you'll have another day surgery to swap them out for the implants.  Then sometime down the road you'll have to decide if you want nipples/aerolas.  They will take skin from one area to make the nipple then tattoo the aerola on.  I haven't gotten that far as my cancer came back and I am in radiation now - but so far I have had no major problems with anything, and what I have now is not the finished product.

It's a hard decision to make, but with a good dr that you really like, everything will be ok!

Good luck!

Angi