Sara, you seem to have an aggressive and non-responsive case, and are on your second biologic. I think at this stage of your battle with UC, it cannot hurt to learn more about
colorectal surgery just in case you might need it some day. I'd read up on it and outcomes. You still have many medical options available on the table (stelara, entyvio, xeljanz) so it is anything but pre-determined. I know you're smart and inquisitive on these things, and it's good to broaden your knowledge and dispel any pre-conceived fears you might have on colorectal surgery. I know many gasteroenteroligists wield surgery like an executioners ax over our heads, which is the absolute last thing that should be done. Not at all trying to scare you, as I know you have a bit of health anxiety. To the contrary, knowledge often makes you fear things like colorectal surgery a lot less. I know I am at peace with surgery, if my case ever warrants it and I cannot be controlled through medicinal means with a good quality of life then I'll jump on the surgery bandwagon without hesitation. More or less where I am getting at, as that mental hurdle is never an easy one to jump