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Reply to "Any professional pilots here with jpouches?"

I don't think it would be a terrible mistake provided everything goes well post surgery (which appears to be the norm). Once you have adapted to the new plumbing it should not hinder your career in any meaningful way.

I posted a related query a while back and was assured that there are other pilots out there with a pouch (including professional ones like yourself) and doing well. I have no reason to doubt that.

With respect to your medical, you also may no longer need a special issuance post surgery. At least I no longer need one to get my medical certificate. I'm now treated like every other pilot (private).

The only possible hitch I can think of is if you require medication such as loperamide (imodium). It is viewed as something acceptable only on a limited basis (I don't know how they define "limited", however). Something to keep in mind.
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