Every so often I end up in the surgeons office and asking for my pouch out. And every time they find more meds to get it working again. Really think this out as pouch removal surgery is not the easiest. If it were this pouch would have been gone years ago. Also, any good surgeon unless things are dire will not just remove it. Ie failed medication, surgical complications, fistfuls, etc. It's been 15 year roller coaster for me. Personally, I'm starting to believe that this surgery should not be offered until they can figure out a better way to keep u healthy.