She’s the daughter of Prince Andrew and Sarah “Fergie” Ferguson, Duchess of York.

She has an older sister, Princess Beatrice, and is 11th in line to the throne.

Despite not being a working royal, Eugenie remains close to senior members of the family, especiallyPrince Harry.

Princess Eugenie smiling

A family insider toldPeoplethat, despite Harry’s move to America, he and Eugenie remain close.

“They’re still the best of friends and talk constantly,” the insider disclosed.

She has spoken openly about it since and has made many others feel less alone in their diagnosis.

Princess Eugenie as a young child, looking away

Eugenie was taken to the doctor and received a pretty serious scoliosis diagnosis.

Scoliosis can’t be prevented.

In fact, doctors are still baffled as to why some types of scoliosis occur in the first place.

Young Princess Eugenie waving

80% of people who get diagnosed with this condition have no known cause.

Other types of scoliosis include neuromuscular scoliosis and congenital scoliosis.

When the spine’s vertebrae don’t develop properly, it can lead to congenital scoliosis.

Princess Eugenie glancing from underneath her hat

This can often be diagnosed in newborn babies.

It might be safe to say that Eugenie was diagnosed with idiopathic scoliosis.

Mayo Clinic notes that one shoulder blade jutting out and uneven shoulders are some of the most common symptoms.

Princess Eugenie smiling

Other physical symptoms include an uneven waist, hips, and rib cage.

Princess Eugenie admitted toThe Telegraphthat she, too, had some self-esteem issues prior to her surgery.

“I think the most upsetting [thing was] … having a condition that made me different.”

Princess Eugenie smiling

Some people even experience shooting pain in their legs.

In some cases, the pain becomes so extreme that patients have trouble navigating their day-to-day lives.

Fatigue is another annoying symptom alongside the pain.

Princess Eugenie looking into the distance

Extreme pain is often a symptom only adults with scoliosis deal with.

Children might experience some mild tenderness in their back, but it is unlikely to be bothersome.

Aside from chronic pain, patients can experience other distressing symptoms, like heart failure.

Princess Eugenie walking, smiling

Patients experiencing this will find that they are often short of breath, thanks to decreased lung capacity.

she recalled thinking at the time.

“Afterwards, I couldn’t move for a while in hospital or when I came home.

Princess Eugenie smiling

I had to wear a neck brace and be moved very gently in bed for a few months.

Eugenie’s concerns as a kid mirror those of many other scoliosis patients.

With that said, it is possible to continue with these sports under the right guidance.

Princess Eugenie walking and smiling

These days, other forms of surgery that are less invasive exist.

In 1997, the procedure cost $55,000.

By the time 2012 rolled around, it had gone up to $177,000.

Princess Eugenie posing for a picture

Of course, prices vary depending on where you live and who your surgeon is.

There’s also the risk of malfunctioning implants.

Additionally, some patients experience vertebral degeneration at the surgical sites.

Princess Eugenie staring into the distance

A2015 studypublished in Scoliosis found that post-surgery infection is very common among patients who undergo scoliosis surgery.

Patients who already have another underlying condition may experience additional complications not observed in otherwise healthy patients.

The surgical procedure is also a very long one.

Princess Eugenie holding her son

Despite all the risks, Eugenie managed to come out the other end without any lasting complications.

In the video, Andrew revealed that Eugenie goes for regular checkups.

Luckily, in Eugenie’s case, the surgery held up.

Princess Eugenie’s scoliosis scar

Nalda continues to explain that the hardware used during the procedure does, unfortunately, have an expiration date.

This is because of how spinal fusion changes the body.

This, in turn, can cause physical limitations that keep them from participating in certain activities and sports.

When it comes to how this surgery affects women, however, research is still sparse.

Common complaints from participants included a decline in orgasms, sexual arousal, and sexual satisfaction.

Spinal News International adds that sexual changes are prevalent in around 30% of women who undergo scoliosis surgery.

The outlet also notes that some early studies indicate that 40% of women experience altered menstrual cycles post-surgery.

feels like Princess Eugenie didn’t have the option of a natural birth for either of her two pregnancies.

This isn’t always the case, however.

This can make labor more challenging.

When it comes to labor, however, some complications could arise.

In Princess Eugenie’s case, her surgery left a long noticeable scar down her back.

For many, this can be distressing and severely affect their self-esteem.

Spinal News International notes that this issue is prevalent in women, especially during their adolescent years.

Princess Eugenie, however, decided that she would show off her scar instead of hiding it.

She admitted that she used to hide it and tried her best to make it go away.

“I remember putting cream only on my scar for years after the operation,” she said.

Eugenie eventually realized showing it off was helping others embrace their own scars.