This topic is about understanding the realistic recovery time and activity limitations after undergoing a proctectomy with anal closure, often referred to as the Barbie/Ken-butt surgery. A 29-year-old, who is very active and in great shape after a previous surgery, is planning this procedure and is curious about when he can resume activities like snowmobiling and snowboarding. Here are some insights and advice shared by others who have gone through similar experiences:

1. Healing timeline:
- Most people find it takes about 3-4 months for wounds to close and for fatigue to lessen, with internal stitches taking up to a year to dissolve.
- Activities like dirt-biking or snowmobiling were typically resumed 4-8 months post-surgery, though some still felt occasional pulling or odd sensations even two years later.
- A few returned to light, low-impact sports at 6 weeks, but this was not common.

2. Internal vs. external healing:
- The skin may appear healed while deeper tissues remain fragile. Straining too soon can reopen sutures, leading to complications like bleeding or infection.
- Movements such as turning or lifting a leg can remind you of tightness or stretching even years later.

3. Activity risk factors:
- Snowmobiling and snowboarding involve impacts and vibrations that can affect the surgical site. Many advised against these activities at 6 weeks post-surgery.
- If the trip is in a remote area, being far from medical help could be risky if complications arise.

4. Surgeon’s guidance over personal eagerness:
- It's important to follow your surgeon's advice, as they know best. While being fit helps, major surgery still requires adequate recovery time.
- If the trip is a priority, consider postponing the surgery until afterward.

5. Comfort aids for recovery:
- Using inflatable or foam cushions and taking frequent sitz baths can help ease sitting pain after surgery.
- An ostomy support belt, like a Stealth Belt, can secure the pouch during early activities, and it's wise to carry emergency supplies.

6. Long-term expectations:
- Some tightness or minor discomfort when sitting for long periods may persist for months or even years, but most people return to full, non-impact lifestyles.
- Scar stretching during twisting or lifting is common but usually manageable.

7. General consensus:
- Except for one person who played low-impact golf, everyone advised delaying high-impact sports well beyond 6 weeks to avoid setbacks.