WIMOMOFTHREE - As a jpoucher who was in your shoes last year (anemic, failing remi, and given the option of humira, trials, or surgery), I took a look at all the things I had missed in the last year and decided that I wasn't willing to give up my quality of life anymore. I don't have kids, but just the list of things I missed or couldn't fully participate in was long. My GI gave me all options, but in my case he recommended surgery.
I had always assumed that I would have surgery sooner or later - but I had hoped for later. Having surgery (and I am a 3 stepper) was the best decision of my UC life (for me). It is different for everyone but I can honestly say I wish I had done it sooner and hadn't gone through the mess that Remi became for me (bad allergic reactions). My hubby wasn't thrilled w/ the bag, but he also said that he knew that it was temporary and if it was perm he would have adjusted. I know that if I have to I can go back to it and we will be able to work w/ it with no problems. While there are people that have had problems w/ their pouches, there are many reasons and solutions for this. If you opt for surgery and find a good CR surgeon, I believe that the chance of many of these problems can be greatly reduced.
I went from Remi infusions every 4 weeks and 20-30 pills a day plus iron infusions as necessary to nothing (once I got off pred). Now I take 3 pills a day - voluntarily. That's just one of the many bonuses of being colon free for me.
Just my 2 cents.
BTW - I'm in WI also - Milwaukee area. If you'd like someone to meet face to face (if you're in the area) or to talk/email with let me know.