It is more difficult to accept the need for colectomy when you may feel well. You may ask why surgery cannot be delayed. By the time symptoms do appear, the type of operation and your future may be compromised by the presence of a cancer. Talking with other people with FAP who have had the same operation is useful. Bring a list of written questions, or have someone accompany you to the surgeon, so that you will have a better understanding of your treatment.
Timing is an important concern.
For school-age patients, the summer months or other holiday time periods during the year are generally preferred. Home tutoring is an option offered by many school boards when surgery occurs during the school year. Talking with the guidance counsellor and home room teacher will enable parents to plan accordingly. It is important to include adolescents in these plans and to prepare them for their hospital stay. Remember that most patients with FAP are asymptomatic and otherwise well, improving their healing ability and recovery.