Hi, @champ100. What surgery are they proposing for you? In what way(s) do you feel not ready for that?

Two or three times a month?! You must have quite a "deposit" each time. I go about twice a week and I have a large movement. I have constipation so I have tried all kinds of things. I think I have a routine that works for me(maybe not for you): Starting on day three, I add Miralax to a glass of water at night. Then, another glass of water with miralax the next morning. If I don't have any feelings of needing to go, I will insert either a glycerin suppository. That will often stimulate the bowel to go into action after about fifteen to thirty minutes. If not, then a medicated suppository will usually guarantee a movement. I had tried the miralax routine and added a glass of Metamucil daily. That made my stool to soft any runny. Perhaps this info may be of some help. I hate to see you have to go under the knife before all options have been exhausted. I wish you well!