The ileostomy is temporary and is intended to provide the J-pouch time to heal without being called upon to perform its ultimate function. The patient goes on to lead a normal life with the ileostomy while the body with the new J-pouch recovers.

A second operation is performed some time later, usually in a matter of months. This procedure is relatively minor compared to the procedure that made the J-pouch. The patient adapts to successfully live with the ileostomy while awaiting the ileostomy closure.