Hubby doesn't laugh at it/me...he wouldn't dare (and he is a wimp when it comes to anything medical so he has a lot of respect for my situation and journey)...
My best friend & her hubby (he is a vet and makes a great living out of poop!) do make sick jokes but they are usually cute so I laugh with them...they are the only ones who do or who can.
They have been there through the worst of it... me living on their sofa post op (7 months!) and baptising her brand new white convertible with an exploding leg bag post op.
Anyone else? I would probably throttle.
When I had my pouch done in 79 I wrote a satirical list of things that you can never call (or insult with) a k poucher (A-hole, up-yours, you farted!...) I figure that at the time I had a pretty wicked sense of humour.