Defines the role of the "Surgical IBDologist" and bowel-sparing strategies. We break down strictureplasty techniques (Heineke-Mikulicz, Finney, Michelassi) and introduce the Kono-S anastomosis, which shows promising data for reducing recurrence. The episode addresses the controversy of wide mesenteric excision (Coffey study), the management of the "victim sigmoid" in ileosigmoid fistulas, and the critical distinction between fibrotic vs. inflammatory strictures on imaging.