with these patients, successful revisions have been noted in 57–100% [136] of selected series with a pooled success rate of 79%. When the stricture is located above 11cm from the anal verge, a new stapled colorectal anastomosis is often feasible. However, if the stricture is less than 11cm from the verge a handsewn coloanal anastomosis is almost universally constructed [133]. Since pelvic brosis is often signicant a straight coloanal is most commonly performed, but if there is room in the pelvis a colonic J-pouch remains an option [153]. Both immediate and delayed (Turnbull-Cutait) procedures have been described. Depending on the amount of brosis, the entire anastomo­sis can be resected or alternatively a mucosectomy can be done leaving a rectal muscular tube similar to a Soave pro­cedure [133, 153]. Given the high-risk nature of these anastomoses, proximal diversion is generally the rule [136]. While this success rate is promising, it is important to note that these reports are of highly selected patients and performed by very experienced surgeons in tertiary care facilities. The mean age was relatively young at 58years, suggesting that older patients may not do well with this approach. Furthermore, while intestinal continu­ity was achieved in nearly 80%, 17% did have inconti­nence and nearly 60% had some degree of low anterior resection syndrome [136]. It is critical, therefore, to have frank discussions with patients about functional expecta­tions and to not solely focus on dening success as being “stoma free.” Nevertheless, in the t and highly motivated patient, re-do surgery is certainly a viable option.