This topic is about a person who has been living with an ileostomy for over 30 years and is now facing a surgery to address some complications. The surgery will involve removing the rectal stump and anus, often referred to as creating a "Ken butt," and rebuilding or relocating the ileostomy. The person is feeling anxious and is seeking advice or reassurance from others who have experienced similar procedures. Here are some helpful insights and advice shared by others:

1. Feasibility and Surgical Scope
- Many people have undergone similar surgeries where multiple issues, such as the rectum, J-pouch, hernias, and ileostomy, are addressed in one operation. These surgeries can last up to 8 hours, but surgeons are well-practiced in handling them.
- Some have experienced minimal pain and quick recovery, especially with laparoscopic surgery.

2. Pre-operative Preparation
- Engaging in moderate cardio, leg, and core exercises can help build stamina, which is beneficial for recovery.

3. Post-operative Seating and Wound Care
- Sitting normally might be difficult for a while after surgery.
- Hospital-issued waffle cushions can help relieve pressure. It's best to avoid donut cushions as they can stress the sutures.
- Requesting dissolvable sutures can prevent the discomfort of having stitches removed. Butt wounds typically heal in about 3 weeks.

4. Nutrition and Healing Support
- Checking your serum vitamin D3 levels can be helpful; a level around 40 ng/mL has been associated with faster healing for some.
- If you need to supplement, D3 gel-caps are recommended for better absorption, and taking vitamin K7/K2 alongside D3 might be beneficial.

5. General Reassurance
- People who have had similar surgeries report outcomes similar to other major operations, often requiring only one routine post-op visit.
- Having experience with managing an existing stoma can make the transition easier, and the "butt surgery" part is usually straightforward if sitting precautions are followed.