Hi, old discussion but still new to a lot of us. I've had my J-Pouch for about three years now, always believing other peoples answers about "NO ANAL SEX". But my question was finally answered from my surgeon himself. He bluntly told me that anal sex for me should be no problem. Not only did enough time for it to heal passed, but he said the pouch is a few inches long, enough to not worry about it getting destroyed. But to start slowly. I HIGHLY recommend you discuss it with your surgeons. It has taken a heavy weight off my shoulders and put my mind at ease. I'm not openly gay (yet) but i managed to have the guts (pun intended) to tell my surgeon how i felt...great decision.