I have had a K pouch for almost 36 years. I have a 27 year old daughter and no pouch complications during my pregnancy. I work full time, travel, work out at Orange Theory Fitness, and spend many hours at our local fire station volunteering as an Emergency Medical Technician. Recently, after 35 years, I did have a K pouch revision due to valve issues. There’s a thread on this forum with “NUVAL” in the title with more info. It was slightly challenging due to some complications, but I am back on track now. It was worth everything I had to do to keep the K pouch. I’m so glad I found a great surgeon, Dr. Jean Ashburn. She is very skilled at the K pouch surgery and is genuinely a very nice person who cares about her patient’s. She was formerly at the Cleveland Clinic, which is where I initially saw her last year, but about 9 months ago she moved back to where she is from in Winston-Salem, NC. I am located in Northern Virginia and it’s an easy 5 hour drive to her office at Wake Forest Baptist Medical Center. And fortunately, she is “in network” for my Blue Cross- Blue Shield health insurance. My insurance is actually out of West VA because the parent company of my employer is in West VA.