The majority of children who undergo colectomy for intractable Ulcerative Colitis (UC) receive an ileal pouch anal anastomosis (commonly J-pouch) to restore bowel continuity. After surgery, patients report similar quality of life, physical function and self-esteem compared to healthy peers. The most common J-pouch complications are pouchitis, stricture, leak and fistula. J-Pouch prolapse is a rarely reported complication in adults with paucity of data in children and absent management recommendations.