The "Plumbing issues" doesn't matter. A person are who they are, outward appearance bedamned.

Heh, I've seen this plenty of times in the SCA. I, myself, carry a purse that weighs almost as much as carrying a well-grown 2 yr old on my back. And yet, I'm so used to wearing it, it's a backpack style purse, than I can move quite easily, and carry a full load of groceries, and even exercise on a treadmill wearing it. But man, I sure notice it when it's NOT there.