The topic is about personal experiences with the BCIR (Barnes Continent Internal Reservoir) surgery. This procedure is an alternative to a conventional ostomy and does not require an external pouch. Here are some insights and advice shared by individuals familiar with the BCIR:

1. One person has lived with a BCIR for eight years, including undergoing one surgical revision. They report a significant improvement in their quality of life compared to having a conventional ostomy. They typically need to intubate or empty the reservoir 3 to 4 times a day. They stress the importance of maintaining a positive attitude, being patient, and being prepared to handle any complications. It's also important to note that not everyone is eligible for this procedure.

2. Some members have looked into the BCIR and found that it involves considerable surgical risk, high costs, and a lengthy recovery period. They suggest carefully considering these factors before deciding to proceed with the surgery.

3. People with Crohn’s disease might not be suitable candidates for the BCIR. One member has had difficulty finding a surgeon willing to perform the procedure and is questioning whether the risks are worth it as they get older.

4. To find more information and locate surgeons, members recommend using the forum’s search feature, despite it being described as somewhat unreliable. They suggest looking for past discussions, particularly those posted by a user named Roxy between June and October 2012, in the "Collections – Premium Content – Ostomy Surgery and Procedures" section. Additionally, one member is searching for a new, experienced BCIR surgeon after their original surgeon retired, highlighting the need to ensure long-term surgical follow-up is available.

5. For those who qualify, the appeal of not having an external pouch is significant, and many report a greatly improved lifestyle once they adapt to the BCIR.

6. A practical question from a member about how often BCIR users need to intubate or empty was answered by the originator, who does so 3 to 4 times daily. This provides a useful benchmark for those considering the procedure.