I have heard about St Marks here in the USA...now I see two people on this site who have referred to it now so that is good. I have yet to see my doctor at the Cleveland Clinic to ask him for a doctor also but now I have some reference to a hospital to tell him about. I will pay the extra for the private medical service but will get that figured out once I get there. Many people know what a j pouch is here but ran into a lot that do not. Many pretend to know until I know they do not understand and I have to explain...no it is not a bag on the outside of my body lol It is a little scary relocating with something that not tons of people have but after having a j pouch since 1997 I have learned to live a pretty normal life. Thank you both for the advice.