This operation removes the entire affected intestine and avoids the functional disturbances associated with ileal pouch-anal reconstruction.> Most patients function well physically and psychologically after this operation.> Total proctocolectomy with continent ileostomy (Kock's pouch) was developed to improve function and quality of life after total proctocolectomy, but morbidity is significant and restorative proctocolectomy generally is preferred today.> Since its re introduction in 1980, restorative proctocolectomy with ileal pouch-anal anastomosis has become the procedund of choice for most patients who require total proctocolectomy but wish to avoid a permanent ileostomy.">