I think Summer may have posted a response similar to what a lot of us thought AFTER having the surgery and getting on living our lives after our recovery. What good is having plumbing that is painful? Yeh, there are some risks, like blockages, adhesions, etc. And yes, there are some risks in getting the correct pouching system/fit for some folks. It can be trial and error, and in errors here, it can be messy. But Without pain. You can certainly control come of the output with the diet you choose too. And, if you want, there are meds to help with that as well. Knock on wood, I cannot remember the last time I had a bad leak. Most of the time, it is because I am pushing my wear time. I get 5 days between changes. When I push it cuz I'm too lazy to change it, or for whatever reason it isn't adhering quite as well as normal, then I am taking that risk. I can feel it tho so it's no big surprise.
Personally, I didn't have a choice regarding whether to have my surgery or not. I was literally dying, malnourished, dropped to 82 lbs. Enough about that. Bottom line, I would NOT go back to living in that kind of pain 24/7 IF I had the choice. It's been 24 years for me last month!