Paul, if your current surgeon refuses to perform reversal surgery then find another surgeon. You can opt for an end ileostomy withOUT (sorry, I meant without, not 'with') pouch removal to see if that works for you. Several people here have gone to permanent end ileostomies without pouch removal and they're doing just fine. I believe that almost any qualified surgeon can perform ostomy surgery. It's the pouch removal that's more difficult to deal with and requires much more skill.