Again, only time will tell. But after having a baby 5 years ago pre-pouch and another 2 years ago post-pouch, things are still working well down there :-) If it were my first, I'm pretty sure I would have chosen the c-section route since I wouldn't have know what to expect. But with my second, all of my docs (high risk OB, regular OB, GI) agreed that with my personal history that a regular delivery would be best (easy first labor/delivery, smaller babies, and some other factors).