A number of people with IBD, both ulcerative colitis and Crohns disease, require surgery at some point in their disease journey.  For some it is curative, and for others surgery is performed to manage troubling symptoms caused by stricturing disease and fistulae.  During this episode, I discuss the role of surgery in the management of people with IBD with Melanie Orchard, a final year colorectal registrar with an interest in IBD.  We discuss the indications for surgery, complications and longer-term outcomes from surgery.  Melanies also shares her top tips for GPs when managing patients who have had surgery for IBD.