I feel very blessed to have a 20 year old pouch. The pouch has been fantastic. It's the other issues like 2 hip replacements (steroids) , a abdominal abscess requiring major surgery to resolve, a fistula and a Crohn's diagnosis 3 years ago. BUT, my pouch has given me no real problems and allowed to be "bag free" for this many years. I truly hope that it lasts another 20 years.