I started with high risk in my area, but I wasn't "High Risk" enough for them to be interested in me, so I left.

I did not have a doctor who had ever had any J pouch patients do my C section (there are none here), but they knew my history. My surgeon wrote a note saying to give me a C section, rather than a vaginal delivery (High Risk was VERY adamant I have a V delivery, and I was NOT comfortable with that), and the new docs were fine with it. Had no issues whatsoever, we didn't even have a colorectal surgeon present, though I was in a teaching hospital where a CRS would have been easy to get hold of in an emergency.

I also had an ovarian cyst removed the year after my daughter's birth by a very good gynecologist, and while we had CRS on "standby" for him (his choice) they didn't do anything at all, and left before the surgery was even completed.

Female organs are forward of the GI stuff and pouch, so it's not like they have to "go through" the pouch to get to the uterus... so I didn't feel uncomfortable in my situations.

That is very helpful.. I'm also in the same boat. Had my surgery in Ohio and live in ny.. I talked to a few maternal fetal specialize but no one around here ever delivered a jpouch c-section patient before. So it's a little scary when that time comes for me, and I'm 40 so I'm very concerned.. Thank you!