Topic Explanation:
The discussion revolves around a user considering undergoing a "Barbie Butt" surgery after having a successful total ostomy. The user, who has had a history of stomach and bowel issues, underwent a loop ileostomy and later a robotic total ostomy, which significantly improved their quality of life. The surgeon suggested a Barbie Butt procedure, which involves the removal of the rectal stump and anus, and the user is seeking advice and personal experiences from others who have undergone the procedure. The user is particularly interested in understanding the physical outcomes of the surgery, such as the appearance of the buttocks post-surgery, and any ongoing issues like mucus production.

Extracted Advice and Helpful Insights:
1. Physical Appearance Post-Surgery:
- Post-surgery, the buttocks will still have two cheeks and an indentation (commonly referred to as the butt crack), but the actual anal opening will be removed and sewn shut.

2. Reasons for Considering the Surgery:
- Some individuals undergo this surgery to eliminate issues such as pain and the passing of mucus, which can be a nuisance and require regular management like enemas.
- A significant reason for the surgery is the prevention of potential complications such as rectal cancer, especially if there have been precancerous conditions or other related health concerns like HPV-related issues in the area.

3. Management of Mucus Production:
- Several users reported issues with mucus production post-ostomy, which in some cases required regular enemas to manage. This can be a factor to consider if deciding whether to proceed with the Barbie Butt surgery.

4. Cancer Prevention:
- The presence of precancerous conditions or findings, such as HPV or precancer at the anus, can be a strong motivator for undergoing the surgery as a preventative measure against the development of cancer.

5. Surgical Options and Considerations:
- The procedure can be done in conjunction with other surgeries like a total proctocolectomy, where the colon, rectum, and anus are all removed at once.
- Decisions around additional treatments such as radiation should be carefully considered, especially based on the effectiveness and potential side effects. If radiation is not highly likely to be effective, some may choose to proceed directly with surgical options.