I was diverted from my j-pouch to a perm ileo. During that lapro surgery she spent 3 hours lysing adhesions. 6 months later when she removed my j-pouch, during an open operation, she spent another 5 hours working on my adhesions. Before she did all of this work on them they caused me daily pain. I needed 4 10/325 hydrocodone daily and now I only need 1-2 7.5/325's daily. Believe me there is a huge difference in how I feel. I don't think mine have come back. I was diverted 3 years ago. There was also pain caused by my j-pouch but I could feel little knots in my abdomen that were adhesions.
They wouldn't operate on me before there was a medical need. I would think having obstructions all the time qualifies you for the surgery, but I'm not a medical professional.