I had abdominal surgery like Kate Middleton - here's why I think she skipped Ascot

When the Princess of Wales was absent from Royal Ascot this year, it sparked a wave of online speculation. For many, her radiant appearance at Trooping the Colourin a turquoise Catherine Walker coat dress and a matching fascinator signalled a full return to royal life. However, having undergone major abdominal surgery myself, I understood that behind the bright smiles and graceful waves, there was much more to the story than being reported.

Her noticeable absence from the racing event, which occurs near her and Prince William's home at Adelaide Cottage, in Windsor, came after it was revealed that the Princess was "seriously unwell" prior to undergoing emergency abdominal surgery amid her cancer battle in 2024.

This traumatic situation is one I unfortunately understand all too well, having been rushed to surgery to remove half of my colon in 2021 following a prolonged struggle with ulcerative colitis. Although it has not been disclosed what specific operation Princess Kate had, any procedure performed when your body is not adequately prepared can be a deeply distressing experience that affects you physically, emotionally, and mentally.

The recovery period after surgery can extend well beyond the initial weeks. It can take months or even years for your body to adjust to the stress it has endured. For someone like Kate, facing a high-profile public appearance where she must spend hours in heels, survive the scrutiny of onlookers, and cope with temperatures reaching a sizzling 28C in formal wear is likely not that appealing.

From my own experience, the last couple of weeks have been unbearable in the heat due to my health conditions and medications, which make me prone to dehydration and fatigue.

Many people don't realise that fatigue after abdominal surgery is more than just feeling "a bit tired". It can be deep and unpredictable. Some days, you may feel like your usual self again, while on other days, even small efforts can leave you completely drained. Additionally, there's the ongoing adjustment of your digestive system, sensitivity due to scar tissue, and the emotional impact of navigating your body's new normal.

From my experience, I understand that even when someone appears well on the outside, the process of healing internally is complex. Making a brief appearance at Trooping the Colour to stand on a balcony for a few minutes with support is far removed from navigating a long day filled with socialising, posing, and adhering to protocol. Royal Ascot is not a casual garden visit - it's an endurance test of silk and stilettos.

If Her Royal Highness chose to step back from this year's event, I view this decision not as a cause for concern but as a much-needed reminder that we should all prioritise our long-term health over what others expect from us. Recovery is not a linear process, and for high-achieving women like Kate, recognising and accepting your limits is one of the bravest things you can do.

The Princess of Wales has always conducted herself with grace and dignity, and in this instance, her quiet absence speaks volumes about her understanding of when to rest.