This describes a condition where the inner lining of the bowel can become inflamed for reasons that we do not completely understand.  IBD is often subdivided in to Crohn’s Disease, Ulcerative Colitis and Indeterminate Colitis.  Most patients require medical therapy with drugs but some require an operation.  Laparoscopic or keyhole bowel surgery and an Enhanced Recovery Program can result in smaller wounds and quicker recovery in a significant number of IBD patients.