Nick,
Its been a long time since I've visited this forum, glad you reached out.
Yes, everything is the same. I am still extremely active and have had zero issues since the year after the take down surgery. The pouch is an after thought in my life now. I still go to the bathroom 6-8 times a day, but that's only because I go when I feel the need and don't want to feel uncomfortable. I could hold off if necessary with minimal discomfort.
I never had the ostomy long enough to get used to it, so I don't know if that becomes easier with time. I'm sure it does. The advantage you have is knowing that living with an ostomy is doable and if there ever was re-occurring issues with the Jpouch, you know you could go back. Again, I've had zero issues other than the first year of healing post take down.
I would highly recommend the surgery if you want to do away with a ostomy bag. I had my surgeries done at the Cleveland Clinic in Weston, FL. Dr. Steven Wexner is pretty much the rock star of these surgeries. If that is an option you can explore, go for it.
If you have anymore questions, feel free to reach out again.
Good Luck.