All surgeries lead to adhesions between the skin and underlying structures. This can disrupt the normal gliding between the structures, and can affect normal function. Adhesions are expected to cause abnormal afferent input to the central nervous system, leading to altered control patterns. Disrupting the adhesions and facilitating normal healing should allow the tissue functions to return to normal. Surgery is often very invasive, and typically involves significant damage to fasciae. The result is scar tissue and associated abnormal function. It is important for therapists to be able to educate their patients on the effects of scarring and adhesions on fascia structures and interfaces.