Surgery has been associated with variable effect on the quality of life of inflammatory bowel disease (IBD) patients,
depending on clinical patterns and baseline disease characteristics. However, surgical treatment is often conceived
by these patients with distress and considered as the failure of their therapies. Lack of control, risk of complications, defacement
of the body image, need of ostomy and hospitalization may be triggering concerns leading to anguish and anxiety.
Even though the quality of life in most cases generally improves after surgery, some particular aspects such as sexual
activity, bowel movements and the ability to deal with a possible stoma may present a slower amelioration trend. These
problems represent common causes of distress and may lead to an heightened risk of depression and anxiety with respect
to background population. The psychological impact and apprehension surrounding surgery will be discussed in this review.
Pros and cons of the surgical treatment in various IBD populations and its long-term sequelae in terms of quality of
life and psychological well-being will be highlighted. Furthermore the tools to encompass these issues such as complete
patient information, gastroenterologist/surgeon synergy and psychological counseling will be explored analyzing their respective