My surgeon said that the number #1 reason to have surgery is for low quality of life. In my case I didn't even realize how much of my life was taken away from me by UC. After 2.5 years of never being in remission and on 22+ pills per day I opted for surgery. That wasy 8 years ago and it was the BEST health decision I have made. No one can make this decision for you but I have not met one person who has regretted surgery for IBD.