Explaining hows and whys of mom's surgery

"Many parents don't explain to their kids what's going on," said the father of four, with his fifth child on the way. "Children are very perceptive. You can't hide a major surgery from them. When mom goes down for two weeks after a tummy tuck it affects them."

Illustrations show a crook-nosed mom with loose tummy skin under her half shirt picking up her young daughter early from school one day and taking her to a strapping and handsome "Dr. Michael."

Mom explains she's going to have operations on her nose and tummy and may have to take it easy for a week or so. The girl asks if the operations will hurt, and mom replies, "Maybe a little," warning she'll look different after the bandages come off.

The girl asks: "Why are you going to look different?"

Mom responds: "Not just different, my dear - prettier!"

Big Tent Books in Savannah, Ga., is racing the book out after the Internet lit up Wednesday with word of its upcoming release. The initial 4,400 copies will be available for purchase only through the website of the company, which provides editorial and publishing services to picture book authors for fees.

Salzhauer acknowledges the subject matter may seem distasteful to some.

"There are people who are going to read this and say you're indoctrinating kids and idealizing beauty. That's not the intention of the book at all," he said. "The intention is to allow parents who are going through this process anyway to have a vehicle to explain it to their kids."

Diane Kuplack understands.

At 37, Kuplack has six biological children under the age of 12, including 5-year-old twins, along with two older stepchildren from her husband Matt's first marriage. She said it was "nerve-racking" trying to decide what, if anything, to tell her children about the breast implant surgery she scheduled for Friday.

Kuplack, who lives in Weston, Fla., and is a patient of Salzhauer's, read the book to her children.

"The older ones loved it," she said. "We were nervous that if we didn't say anything at all that they would notice I look different when I came home. It really helped them understand because it explains everything so well. They didn't have any questions after that."