Topic Explanation
The discussion revolves around whether the skill of the surgeon performing an ileostomy has any impact on the likelihood of experiencing blockages. The original poster, who has not faced any blockages since their surgery, questions if this could be attributed to the surgeon's expertise. They seek insights from other forum members on their experiences and opinions regarding the influence of surgical skill on post-operative complications like blockages.

Extracted Advice and Helpful Insights
1. Surgeon's Skill and Blockages:
- Multiple responses indicate that the skill of the surgeon does not directly influence the occurrence of food blockages post-ileostomy. The primary factors contributing to blockages are related to dietary habits and how well food is chewed.

2. Importance of Chewing:
- Chewing food thoroughly is crucial to prevent blockages. One user highlighted that their surgeon advised chewing each bite 60 times to minimize the risk. This practice is likened to an anti-theft device, serving as a preventive measure against blockages.

3. Dietary Choices and Awareness:
- It's essential to be mindful of what is eaten, as certain foods are more likely to cause blockages. Foods that do not break down easily or are known to cause issues should either be avoided or consumed cautiously with thorough chewing.

4. Individual Differences and Body Response:
- Several users pointed out that each person's body reacts differently to foods post-surgery. What might cause a blockage in one individual may not affect another. Personal experiences vary widely, and there is no one-size-fits-all guideline that applies universally.

5. Potential Causes of Blockages Beyond Food:
- Other factors such as adhesions (where the intestine sticks to the abdominal wall) and hernias can also contribute to blockages. These conditions can interfere with the normal movement and processing of digested food.

6. Long-term Changes and Complications:
- The body can change over time, and foods that once did not cause issues may become problematic years later. Additionally, complications like scar tissue formation can occur long after the surgery, potentially leading to blockages.

7. Role of the Surgeon in Patient Education:
- While the surgeon's skill in performing the surgery might not directly prevent blockages, their role in educating patients about potential risks, proper diet, and care post-surgery is crucial. Being informed can help patients