Hello. I had the jpouch surgery in 2010 after my son was born. The first 3-6 months were a little challenging, just in the sense of getting used to everything. You do get used to what sits "right" with you and what doesn't. Just takes some time. I also can make it with just 2 -3 bathroom trips a day, and generally never have a problem going out during the day. For me, the Metamucil is my "magic potion" and cannot live without it. Twice a day and I am good.