Ulcerative colitis is a surgically curable mucosal disease of the colo
n and rectum. Optimal management of this chronic condition requires cl
ose coordination between the patient, surgeon, and primary care provid
er or gastroenterologist. Knowledge of surgical indications and the op
erative alternatives available helps to individualize therapy. Acute a
nd chronic indications for surgery and the five surgical methods curre
ntly in use are described.