It all depends on what and when I eat. Usually after dinner I am in the loo 2-3 times within 2-3 hours of the meal. There is only a very slight sense of urgency. If I have salad or fresh fruit I will need to go sooner. I consider myself completely bowel healthy. I work full time in pediatric critical care and do 10,000 steps in a 12 hour shift. I play in a pipe band and do parades and shows. (No large meals prior to those. A granola bar will do). I love to travel and am so happy with my pouch.