Pouchoscopy frequency varies a *lot*. I think folks who had dysplasia prior to their J-pouch surgery should probably get an annual pouchoscopy at least, and folks with FAP don’t even have to ask this question. For the rest of us, if we’re doing well, I think it depends on your risk tolerance, comfort with the procedure, and maybe even insurance situation. I haven’t had a pouchoscopy in quite a while, but that’s more of an illustration of the range of choices than a recommendation. I do thing that every J-poucher should have an active, constructive relationship with a gastroenterologist. Some of those relationships might turn out to be well maintained by regular pouchoscopies.