Seems to be a hiatus before the surgery. Doesn't seem to be a permanent leave, at least the things you all said her boyfriend was saying in discord. Girls like to take mental health breaks and pamper themselves and ignore reality. Her new default behavior this year for any problems is just total radio silence and ignoring obligations, which to everyone paying her money must seem rude.
I found this on the OF Help page:
She'll certainly lose most of her subscribers after a few months with no posts, but she could never log into to her account again and probably still make a decent passive income out of it for a long time.
i'm just a lurker but wanted to keep up with maimy's happenings, it was cringey to see him and the other dudes planning a gangstalking activity and then wondering why she never gave any sort of explanation, 0 self awareness