I don’t think removal of the J pouch will take care of everything. If they remove the J pouch, do they just reconnect intestine post stoma? If so, I am guessing you would still have some mucus production. And mucus production leads to all that annoying discharge/pressure feelings. I just briefly posted about my J pouch removal and from the little information I have come across, it sounds like the Barbie butt can either be done internally (so your butt looks the same from the outside) or externally so it is like a butt hole never existed. When I had my surgery, I just assumed it would be done externally. My surgeon did it internally and it has been the best thing ever! 3 weeks out and I am able to sit only on a towel on my toilet seat to put a new ostomy appliance on my stoma. I would be curious to see if any other now Barbie butts could comment on how their butt was sewn up. Not sure if either way makes a difference, but the best experience from my surgery so far has been my Barbie butt. I never thought I would be typing that!