Well, in order I had a small bowel resection, a total colectomy w/ ostomy, and a relocation of said ostomy w/ a proctectomy and a separate small bowel resection. Thankfully, I did not need the big abdominal incision I was afraid of having for the procectomy--they did everything through the anal incision. I know they did some local anaesthesia to the abdomen with that last surgery but I was still shocked that neither it nor my previous ostomy hurt ANY. I assume all the credit goes to the continued advancement of surgery techniques--each of my surgeries was 8-10 years apart.