I was diagnosed in my 30s with a long, tortuous colon and had life long constipation problems. I am now 63. Three years ago I had a bowel obstruction cause from a previously unknown bowel deformity– rotated cecum. I had to have emergency surgery and part of my intestines were removed. I had no choice, it was a very life threatening situation. But, it has been a HARD recovery. It's a very major surgery and you are altered forever, for better or worse. Before this happened, I had chronic constipation and had some luck with the constipation with magnesium and vitamin c supplements. Just my opinion, but exhaust all avenues before resorting to surgery. Should be a lady resort. Get lots of opinions from GI drs. There are many new meds out for constipation predominant IBS. Also get tested for SIBO. Very common with chronic constipation. And remember, if you get opinions from surgeons, they will want to do surgery so be careful. Latest studies show that colectomies due to chronic constipation just change one set of problems for another, are not always successful and there are many, many risks with this surgery. Good luck!