Hi debst. Even if you have scar tissue you may not necessarily need a bowel surgery. I had an illeostomy when I had a 70cm stricture, then where the bowel was rejoined I now have a 10 cm stricture. My gi told me years back, that when you have surgery, you then have scar tissue where there is stricturing. My symptoms got really bad a year or so ago, and my gi first said, if pred dosnt help, a bowel resection might be necessary. I then read about humira on this forum, and asked my gi a bunch of diff meds like pentasia etc to try, then humira. He agreed I could try humira, and see if it decreases the inflammation enough, long term, so that I don't need another bowel recsection. For the most part, my pain symptoms are much better, though I have constant D, I still figure even if I have a bowel recsection I'll just have another stricture anyway. As far as fatigue- there was a thread on here you could search 'why isn't fatigue listed as a side effect of humira'. I get fatigued too, some days like you, I just want to lay down all day and feel generally crap. But then not all people on humira say they feel the same, but if it helps your crohns symptoms and you don't need a bowel recsection, I think it's the better option long term. I personally think- if I need another rescection in 4 years- at 10-20 cm then again in 4-5 and so on, it's better then having a recsection for a small stricture. It's been 4 years since my bowel recsection, so 4-8 years between needing one- at 30, I'd rather that (feeling a bit fatigued), then needing a colostomy bag by 45 because of more frequent surgeries. So it depends on how much better your crohns is, as far as is it better to just have stricture recsected I think. Best wishes xoxo