What happens next in this paragraph?

How to prepare for a vaginoplasty
Talk to your doctor about the procedure.
Your doctor can fully explain the procedure, as well as what you can expect afterward. They'll also discuss the risks of the surgery.
Available choices: (1). Follow your doctor's instructions, if your general practitioner recommends it. Unless you are in extreme pain, your doctor may suggest it.; (2). Your doctor may recommend you wear rubber gloves and a medical ointment while you attempt the surgery. This can create a barrier between the incision and blood vessels and reduce blood pressure.; (3). You'll likely need to undergo pre-operation anesthesia and a general exam. This will allow you to get regular x-rays taken.; (4). Tell your doctor why you want the surgery so that they can help you avoid disappointment. The doctor will ask about your health and well-being before approving you for the procedure.;
(4).