Timing of elective surgery for diverticular disease

The timing of elective surgery for the treatment of diverticular disease is constantly evolving. Historically, the indications for elective surgery were relatively consistent. It was recommended that patients undergo elective resection after two documented attacks of uncomplicated diverticulitis or after one attack of complicated diverticulitis in which the patient did not require emergent surgery. There were some exceptions to these guidelines; people <50 years old could undergo elective resection after their first attack, and patients who had previous solid organ transplants could undergo resection after a single attack. In this article, the author updates the data regarding the timing of surgery in elective diverticular disease and challenges surgical dogma.