Athena, I hope that your surgeon can give you a j pouch that works out for you. If not, there are two alternatives to the end ileostomy that do not require having an external bag. They are the K pouch and the closely related BCIR and there is a lot of information about both of them on the internet. These internal pouches are emptied 3-5 times a day with a small plastic catheter and no stool comes in contact with your skin as can happen with an end ileostomy. The supply cost (for catheters and stoma covers) is usually under $200 per year. Unfortunately, these quality of life options are not known by many doctors and some may give negative or misleading opinions about them. However, both procedures have a success rate of over 90% and are very highly rated by those who have them.