This topic is about considering the pros and cons of an ileostomy reversal for someone who is almost 60 years old. The person in question had surgery for colorectal cancer and is now contemplating whether to reverse the ileostomy. Here are some insights and advice shared by others who have faced similar decisions:

- Age alone should not be a deciding factor. Many people in their 60s and beyond have successfully undergone reversals. It's more important to consider the surgical risks and how it might affect your quality of life.

- Understand what your new anatomy will be like. If your rectum has been removed, a reversal might involve creating a new connection, such as a J-pouch. It's crucial to discuss this thoroughly with your surgeon to know what to expect.

- Talk to others who have had reversals. Hearing about both successful and unsuccessful experiences can give you a realistic idea of what life might be like after the procedure.

- Consider the balance between quality of life and surgical risks. Some people are happy with a permanent stoma and prefer not to risk further surgery, while others have had great success with reversals and enjoy a normal diet and active lifestyle.

- The choice of surgeon and getting a second opinion can be important. Different surgeons may have different views on the risks and possibilities of a reversal.

- Be aware of potential downsides. There is a risk of complications such as leaks or needing to return to a stoma. Some people have had to deal with additional issues like a prolapsed stoma after a failed reversal.

- After a reversal, diet and bowel management are key. Initially, you might need to limit fiber and gradually reintroduce foods. Some people experience urgency or unusual sensations, but these often improve over time.

- Be prepared for some psychological adjustment. It's normal to feel anxious about bowel control and new sensations, but these feelings usually decrease over time.

- Practical steps include having a detailed discussion with your surgeon, gathering all relevant medical data, and making a decision that fits your lifestyle and comfort with risk.