Dr Philip Smith, Associate and Social Media Editor of FG and Consultant Gastroenterologist at the Royal Liverpool Hospital, Liverpool, UK, interviews Dr Jeremy Nightingale, Honorary Consultant Gastroenterologist and Intestinal Failure specialist from St Mark’s Hospital, London, UK, on the paper 'How to manage a high output stoma' published in Frontline Gastroenterology in 2021 and on the website: https://fg.bmj.com/content/13/2/140.