This topic is about a person considering a specific surgical procedure known as a "Barbie Butt" after having a total ostomy. This involves the removal of the rectal stump and anus with permanent closure. The person is seeking advice and insights from others who might have undergone similar procedures. Here are some key points and advice shared:

- The procedure will leave you with two butt-cheeks and a normal butt-crack, but the anal opening will be stitched shut. Some people might have their cheeks sewn together, but an indentation will still be present.

- People who have had this surgery report that it eliminates mucus production and removes any future risk of rectal cancer.

- If you are experiencing bothersome or recurrent mucus from the rectal stump, completing the proctectomy can resolve this issue.

- Another option is a total proctocolectomy, where the colon, rectum, and anus are removed in one surgery. Those who have had this procedure confirm that it results in permanent closure with no output from that area.

- It's important to carefully weigh the option of surgery against alternatives like radiation, especially if there is a high risk of pre-cancer or cancer and the success of radiation is uncertain. Some people prefer to have the surgery to eliminate the risk.

- No one in the discussion had undergone a robotic proctectomy, so there is no shared experience with the robotic technique.

- Before making a decision, ensure you understand why reconnection to the rectal stump was not offered and confirm the long-term surgical plan with your surgeon.