Rebecca M. Rentea, MD; Elizabeth Renaud, MD; Robert Ricca, MD; and Alana Beres, MD, discuss surgical management of children and adolescents with ulcerative colitis based on findings from the American Pediatric Surgical Association (APSA) Outcomes and Evidence-Based Practice Committee. Questions related to reconstruction, timing, use of minimally invasive procedures, ileostomy, infertility, and sexual dysfunction are discussed. An enhanced recovery after surgery toolkit is also presented.