I believe that patients should be treated by a team interested in pelvic floor problems, with access to high quality ano-rectal physiology. Surgeons should ideally be experienced laparoscopic AND pelvic floor surgeons. Prior experience in ileal pouches & surgery in recurrent fields is a definite bonus.

It is becoming a cliche for surgeons to suggest that these patients should not be treated by surgeons who see very few patients with this condition and without a team set-up, but it is very true here as well.