I actually had OB who wanted to do a vagina delivery and my pouch surgeon was like NO! You don’t want to take a risk of messing up the one shot you’ve got at the pouch. She recommended another OB who was really knowledgeable about pouches and the OB office had a weekly meeting to hover a plan of action as I got closer to delivery.
The plan was to do a c section and have a colorectal surgeon on call in case they ran into scar tissue or a problem. they said the likelihood of that was low since the uterus was in front of the colon, so most of the scar tissue, if any, would be BEHIND the uterus or above where they would be cutting. The cut was very low- right above where my hairline is, so it didn’t even come close to my ostomy scar or my belly scars.
I think the location is pretty standard now-a-days. I don’t think you can really request where you have the c section unfortunately, if you want to minimize future scaring or see if they can work it into your precious scar. I think they try and do this to avoid main arteries (not sure that’s the right term, but main blood lines or bleeders) and keep away from other essential organs so to speak. I hope this helps!