My surgery was done for indeterminate IBD (it stayed indeterminate even after pathology was done on the whole excised colon). I carefully reviewed the risks and decided to try it. I feel like I’ve had a great result, even though I have to stay on antibiotics to manage chronic pouchitis. However: I had no peri-anal disease and no fistula history. These really do increase the risk of an unhappy outcome.
My attitude was that I wanted to try it, and I knew that it might fail. In my decision-making I substantially underestimated the misery that goes along with pouch failure, but fortunately I haven’t experienced it.