Dear @gibssy174: i am faced with your exact situation but I am 74 years old: to have to go through this at your age should never happen you have all my sympathy. Because of the risks involved with the procedure & the lack of guaranty that my symptoms will disappear I have decided to first try & work with a nutritionniste it is a lot of work to keep track of everything you eat every day to find out what you react to but it is better than surgery which would mean you would end up with a new anatomy which is the unknown & not necessary better.. could be worst! You must remember that stress plays a big role with IBS for sufferers such as ourselves. So stress reduction must be part of the solution (meditation exercise etc. etc.). After you have given a good try to these things if they do not work (I bet they will..) then you may consider surgery after knowing PRECISELY what you are getting into. The best of luck & keep us posted I will do the same