This topic is about someone who has decided to have a permanent colostomy and is preparing for a surgery known as the "Barbie-Butt" procedure. This decision comes after previous surgeries did not succeed, and no further repairs are possible. The person is trying to stay positive, using humor to cope, and finds comfort in their pets, Jax the dog and JT the cat, as they don't have close friends nearby.

Here are some helpful insights and advice for anyone in a similar situation:

1. Acceptance is key. Adjusting mentally is just as important as the physical recovery. Many people find they can thrive after having permanent ostomy surgery.

2. Quality of life can improve significantly. The Barbie-Butt procedure often eliminates ongoing pain, leakage, and hygiene issues, making it a worthwhile option if these problems persist.

3. Ignore negative comments from relatives or ex-partners. Age is not a barrier, and many people with ostomies find love and companionship. There are understanding partners out there, and some are even part of supportive communities.

4. Stay connected socially. It's important not to isolate yourself. Reach out to support groups and connect with others who have similar experiences for encouragement and shared understanding.

5. Humor and pets are great for coping. Laughing, joking, and spending time with pets can provide daily emotional support and help you through tough times.

6. Remember, you are not limited by your condition. Many people with permanent colostomies or ileostomies lead full, active lives. Your future is still full of possibilities, so keep your spirits up and don't give up.