My Daddy and my Brother both had issues. Thry are 6'6" & 6'6 1/2" . They had the 3 step procedure and because of how tall they are it was barely enough to stretch. I am 5'10" and everything was done in one surgery with jpouch working right away. I saw my Dad's struggles with not being able to hold it and many accidents. They were in 40's and I was 25 and scared of what life would be like. I take my 8 lomotil a day, VSL and Protonix. I made myself hold it even if only a minute until I gained control somewhat. At night is a different story and sometimes the ugly happens. Makes me mad that I didn't wake up and feel the urge. I am not willing to give up jpouch but a friend of mine had to and says she would have done it years ago had she known life would be easier. I'm single so not ready to go there yet.