The topic at hand is about considering an ileostomy reversal, which is a procedure to reverse an ileostomy that was initially performed due to a medical emergency. In this case, the person had an ileostomy due to a C. diff infection and subsequent sepsis. Although the surgeon has indicated that a reversal is possible, the individual is unsure about undergoing another surgery and is concerned about potential downsides.

Here are some helpful insights and advice for anyone considering an ileostomy reversal:

1. Keep in mind that reversal outcomes can vary greatly from person to person. What might be a positive experience for one individual could be different for another.

2. It's important to understand that a reversal does not guarantee perfect continence. Some people may experience issues like leakage or increased urgency and frequency. In some cases, individuals find that living with a pouch offers better control.

3. Have a detailed discussion with your surgeon about what a "successful reversal" means in your specific situation. Ask about the quality-of-life benchmarks they use to evaluate success.

4. Consider practical aspects such as the number of additional surgeries that might be needed, the recovery time involved, the impact on your work schedule, and how satisfied you currently are with the function of your ostomy.

5. Pay attention to your own body and comfort level. Many people choose to keep their ileostomy if it is functioning well and they wish to avoid the risks associated with further surgery.