Ileostomy & Colostomy (Ostomy) Reversal Surgery

If you’ve had a temporary colostomy or ileostomy due to a bowel condition or surgery, you may be able to have it reversed.

Ostomy reversal is a surgery that reconnects your intestines and closes the opening, called a stoma, in your midsection. After this procedure, you’ll be able to use the bathroom the way you did before your ostomy.


 

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At UI Health, our team of experts in general surgery, colorectal surgery, and digestive health are here to guide you through every step — from your first consultation to your recovery from surgery. We offer personalized, team-based care for both simple and complex ostomy reversal cases. are here to guide you through every step — from your first consultation to your recovery from surgery. We offer personalized, team-based care for both simple and complex ostomy reversal cases.

What Is Ostomy Reversal Surgery?
Ostomy reversal is a surgery that reconnects your bowel, so stool can pass through your rectum again, instead of a stoma on your abdomen. It’s an option for many people once their body has healed from the original surgery that required the ostomy.

You may be a good candidate for ostomy reversal surgery if:

  • Your original condition — such as infection, injury, or cancer — has improved or healed completely.
  • Your bowel and rectum have returned to healthy function.
  • You’re physically well enough to have surgery.
  • You can still control bowel movements through your anal muscles.

Should You Consider an Ostomy Reversal?
Living with a stoma and managing an ostomy bag can be physically and emotionally challenging. Reversing your ostomy can help:

  • Improve quality of life
  • Reduce the risk of skin irritation, leaks, or infections
  • Restore bowel function and control
  • Offer a return to your usual routine

When Can an Ostomy Be Reversed?
We typically consider ostomy reversal 3–12 months after your original surgery, depending on how well your body has healed. Your surgeon will talk with you about timing makes sense for your unique situation.

What to Expect Before Ostomy Reversal Surgery
Before your procedure, your care team will do a full check-up to make sure your body is ready. This may include:

  • Endoscopy to look at the inside of your bowel
  • Imaging tests to make sure there are no blockages or leaks
  • Rectal exams to check your muscle strength and control
  • Blood tests to check your overall health and nutrition

You may also need to:

  • Clean out your bowels with an enema or medication.
  • Stop smoking and avoid alcohol to help with the healing process.

After Ostomy Reversal Surgery & Recovery
After the surgery, you will stay in the hospital for a few days. Your bowel will need time to "wake up," so you’ll start on liquids and slowly move to solid foods. You can go home once you can eat, drink, and have bowel movements comfortably.

Full recovery can take 6–8 weeks. During that time:

  • Take it easy. avoid heavy lifting or driving until your doctor says it’s OK.
  • Stay hydrated, and eat small, easy-to-digest meals.
  • Alert your doctor about issues like pain, nausea, or trouble going to the bathroom.

Is Ostomy Reversal Right for You?
If you’re wondering whether you or a loved one could benefit from ostomy reversal surgery, we’re here to help. Our team will work with you to understand your needs and determine the best plan forward.

At UI Health, we understand that every patient’s journey is different. Whether you're a patient considering reversal or a provider looking to refer someone for specialized care, we offer:

  • Advanced surgical expertise in colorectal and minimally invasive surgery.
  • Personalized care plans tailored to each patient’s condition and recovery.
  • A multidisciplinary team including surgeons, gastroenterologists, dietitians, and wound care nurses.
  • Follow-up care and rehabilitation, including pelvic floor therapy, when needed.

 

We’re proud to be one of Chicago’s leading academic medical centers, offering both innovation and compassionate care.

To schedule a consultation with the Colon and Rectal Surgery team, call 312.996.7598.