You have an appointment with the Doctor and his assistant about the 3 deversions and which are suitable for you. I wanted the neo bladder, first of all I could not imagine having an outside bag. Then as they explained the neo bladder, I wondered if I could handle the work it takes to get to the point of no incontinence and that I may have to cath myself at times. Many have great success , some don't. I had a heart attack the year before and still have some issues with minor blockage. For my own sake I accepted the bag, and believe it or not its not so bad...if I were younger and had no issues I would have done the neo, the Indiana pouch was not offered to me. Once you find the bag that suits your body type its no problem. Its not the popular choice but for me its the perfect fit.. One thing to remember, after surgery your surgery site is swollem some, and a bit bumpy, it takes a couple weeks to settle down and get back to normal..I never had ripples before, so it was new to me,, there all gone now, 7 months after surgery,,Gene