Kelly,
A perforated abdomen is very unfortunate. I've read that surgery is often necessary and that prompt treatment is important.
As you suspect, it's risky to have surgery when you have the low blood counts that are typical of aplastic anemia. Bleeding, infection, and lack of hemoglobin are all high on the list of concerns. But doing nothing is risky too.
You are wise to seek expert opinions about this and about the transplant risk, and that includes getting second opinions. If you are in New York then there are definitely many doctors you can consult, to give you confidence that you are making the right choices.
I don't have the answers, but I encourage you to arrange these consultations soon.
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