J-pouch surgery (ileal pouch-anal anastomosis / IPAA) is a complex, multi-stage procedure for ulcerative colitis and familial adenomatous polyposis. It is performed at high-volume colorectal surgery centers, typically within academic medical centers or specialized surgical hospitals.
Key questions for the surgeon: Annual IPAA volume, staged vs. single-stage approach, pouchitis rates, functional outcomes, reoperation rates, and long-term follow-up structure.
Because surgical volume correlates strongly with outcomes for complex pelvic surgery, center and surgeon selection is paramount.

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