This topic is about someone who is facing the prospect of having a permanent ostomy due to recurring rectal prolapse and total incontinence. After previous surgeries, the situation has become quite challenging, and the person is scheduled for surgery to create a permanent ostomy. Here are some pieces of advice and insights shared by others who have been through similar experiences:

1. Many people find that the "nightmare" of dealing with fecal incontinence ends almost immediately after the creation of a stoma. Managing output into a pouch is often simpler, cleaner, and less emotionally taxing than dealing with leakage.

2. There will be an adjustment period as you learn how to empty and change the pouch, but life tends to return to normal quickly. Many people find that they forget about the stoma during their daily activities.

3. It's important to consult with a stoma nurse before surgery to choose the best location for the stoma. Proper placement can prevent ongoing issues, and the standard ileostomy position is usually on the lower-right abdomen.

4. Plan to take it easy and rest during the initial recovery phase after surgery.

5. Some people find that one-piece pouching systems work well for them. Once the stoma has settled, you can establish a routine that fits your lifestyle.