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The authors suggested that patients worry about Stoma-Forming Surgery (SFS), sometimes enduring poor bowel-related quality of life to avoid it. This qualitative study explored influences on patients’ SFS decision-making and compared preoperative concerns with postoperative outcomes. This nurse-led study found that early multidisciplinary team dialogue about SFS and contact with others living well with a stoma, could enable informed decision-making. Ongoing specialist nursing support aids recovery and adjustment.