I am almost (next month) 78. I had my first step J-pouch surgery when I was 61 and the second step (takedown) at 62. I was very reluctant to give up my ileostomy because I had such a good experience with it. My son convinced me to go ahead or I'd always wonder. Well, I'm glad I did go ahead. My J-pouch has been wonderful. I've had no problems and forget my "plumbing" is atypical! At my age I do wonder if it would be easier for a caregiver to assist me/clean me if I had an ostomy rather than the J-pouch. Hopefully, I won't need to think about this for quite some time, if at all! Best wishes!