This topic is about someone who is facing a significant medical decision. They have a J-pouch, which is a surgically created internal reservoir to collect waste, and their surgeon is recommending switching to a permanent ileostomy. An ileostomy is an opening in the belly wall that allows waste to exit the body into a bag. The person is seeking advice on whether it's possible to switch back to a J-pouch after having an ileostomy.

Here are some pieces of advice and insights shared by others:

1. Consider getting a second opinion or consulting a new surgeon. One person shared their experience of being advised to have a permanent ileostomy but sought another surgeon's opinion. They were able to have a successful reversal and are now fully active. They encourage seeking another surgeon's perspective.

2. Look for personal experience resources. Another individual suggests reading their detailed blog about their own experiences and offers to be contacted directly for more personalized advice.