My granddaughter had to have her tonsils and adenoids removed 3 days before she turned 3. Not sure who it was rougher on, her or the adults. The last photo is the day she went back in for her follow up and was released to all activities--next stop the trampoline store! Haven't added the journaling yet. Just a simple layout with scraps of cardstock and ribbon and I added a Cricut paper doll nurse.