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You do not want your op leg to cross the midline and fall to the bed surface - thus the pillow. Yes, it might hurt but crossing that midline so early out is a bit risky. Just use a pillow and experiment. You might not be able to sleep on your op side yet. Try the other side - but always with a pillow between your legs.Am I trying to avoid my "good" leg from sliding over the top of my newly operated leg? Why? What would that hurt?