Hi Rburke,
Thanks for your question! Following surgery, it's a good idea to use cold therapy until you notice a definite decrease in pain and swelling, and any incisions have had a chance to close up so that they are not an open wound anymore. Once you see a noticeable decrease in pain and swelling, that indicates that your inflammation has decreased - the less inflammation you have, the more effective the BFST will be.
You can also use cold therapy prior to your BFST treatments - typically you can start with 20 minutes of cold, then allow your skin to warm back up to body temperature, and then apply the BFST for 20 minutes. It's best if there's at least 4 hours of space in between BFST treatments, but you can repeat that process as it fits with your schedule until you've done it 3-4 times daily.
I hope this helps! Please let us know if you have any other questions.