I went back to my powerlifting and core training pretty quickly, but I started very very light. I was lifting light weights between each surgery, usually about 4 weeks after surgery. But I started with about 20% of my previous max, and did very high numbers of repetitions. I gradually added weight and reduced repetitions. I also returned gradually to core stretching and training (it was very painful until the scar tissue was all stretched out). I was back to a 'normal' routine after about 4 months. However I have never put on my belt, as I am afraid it would hurt my pouch. I try to empty my jpouch really well and do not eat for a couple of hours before lifting. I have not had any incontinence, but sometimes I do have bathroom visits between sets.