I am new to this site and thank you for accepting me. I was first diagnosed with FAP in 1989 and have been watched with scopes since then. I am now getting ready to hit 40 yrs old and still have not had any surgeries, but within the last 6-9 months I have started to experience some issues and found new doctors that actually know about this disease in depth (thank goodness). I will be having my colon removed this year and am no stranger to these types of operations. My mother has had an ileostomy for 30+ years and I have an uncle (not blood related) that has had the J- pouch surgery for 15 years then changed to ileostomy within the last 5 years. My upcoming appointment with my surgeon is scheduled for 4/26/17 and that is when he will let me know which type of surgery is best for me. I am hoping for the J-Pouch, and this is where my question comes in. I have a lot of polyps in my rectum and according to my new gastro he said that they are very concerning due to the number and also they are within 1-2 cm from anal verge and vary from 3 to 20mm in size. So just curious if anyone knows or experienced themselves this being a reason why a J-Pouch surgery would not work for cases of this nature. Any advice/experience is greatly appreciated.