In no way am I criticising Richard's decision. For him, it was the better way to go and it worked out well. Undoubtedly, others who are faced with the removal of their J pouch will read these posts. Since there are many doctors who are not supportive of K pouches. those who are seriously considering that option or do not want to have an external bag, should consult with a surgeon who has done many of them and can advise whether the person is a good candidate. With this information in hand, they can decide what option is best for them