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Not silly at all. Ask for step-free room confirmation in writing, not just hotel link.
I did a different body surgery, not arm lift, but the hotel details mattered more than I expected. My friend handled luggage, water bottles, pharmacy run, and messaging the coordinator when I was tired. If your sister can stay with you the first few days, that sounds sensible. I would also ask if the hotel has room service or easy food nearby, because going out every meal was annoying.
I stayed one extra night and was glad. It cost less than changing flight last minute.
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