Mentioning a colostomy in an online forum is akin to yelling “Fire!” in a crowded space. Suddenly nearly everyone is mobilising and has something to say. It makes sense, because managing a bowel program is one of the trickiest, most frustrating, and mentally consuming aspects of life with an SCI. Ever-lengthening routines, incontinence, hemorrhoids, and numerous other issues leave many wheelchair users looking for an alternative to suppositories, enemas, and stimulation. This article provides first hand knowledge of people who have decided to improve their bowel management by having the surgical procedure for a colostomy, how they manage their colostomy going forward and some of the pros and cons.