This episode explores Crohn’s disease and ulcerative colitis as chronic, relapsing conditions requiring coordinated medical and surgical care. Listeners are guided through disease patterns, complications, and the thresholds for operative intervention.

The discussion highlights the importance of timing — operating neither too early nor too late — and the need for long-term planning around nutrition, fertility, and quality of life. Surgical strategies are framed as part of an ongoing journey rather than definitive cures.

This chapter emphasises continuity, collaboration, and the reality that surgical decisions echo far beyond the operating theatre.

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