I was in remission and had low grade dysplasia just about 1 year ago next week...whew time flies. Anyway, I went for the one step since I was in remission and only doing the surgery for cancer (or to prevent) purposes! I don't regret it at all and felt completely comfortable having it done since my surgeon is very experienced at doing one and two steps. Best of luck to you. I had no issues once I was out of the hospital (14 days for me)...but I had no leaks or infections or anything like that.