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Most people do 2 step surgeries where their step 1 and 2 are your 2 and 3, so not sure any answers you get will be that helpful or will necessarily be applicable. My opinion is step 1 of 3 isn't the big step, its steps 2 and 3, which is like anyone doing steps 1 and 2 choosing their first surgeon. As for switching surgeons between steps 1 and 2, it's not a big deal because step 1 of 2 and 2 of 3 is the totally key step. But if you do switch you will have most likely another 3 months with an ileostomy bag between steps 2 and 3. Which you will get rid of with step 3 aka takedown.

Bottom line, as long as you have confidence in the new surgeon, switch. Ask him or her how many 3 steps they have done, though.

BTW, I was a 2 step, same surgeon on both. And I am glad I had his office supporting me because I had myriad temporary ileostomy issues and a blockage between steps 1 and 2, which will be your 2 and 3. They shepherded me through those issues and actually gave me a written diet, exercise and lifestyle plan for both after step 1 and after step 2, including fiber intake, and anal sphincter exercise protocols. It was good to have that continuity.

Last edited by CTBarrister

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