Surgeons need to know how the new consensus on diverticular disease can improve patient outcomes and surgical decision-making.

• 20-25% of those with colonic diverticulosis may develop symptoms.
• High dietary fiber intake is protective, while smoking and certain medications increase risk.

Consider individualized elective surgery focused on quality of life, not just symptom episodes.

• Routine antibiotics are not recommended for acute uncomplicated diverticulitis.