Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the operation of choice for ulcerative colitis (UC). The most common type of IPAA is a J-pouch. If despite all other mobilization maneuvers, inadequate mesenteric reach prevents a tension free anastomosis with J-pouch, a good alternative is S pouch creation which can provide an additional 2 to 4 cm of length. We report a case of a case of a 52 years old male who was diagnosed with dysplasia during colonoscopy in the setting of longstanding ulcerative colitis. After the initial surgery patient presented for completion proctectomy with J-pouch creation and diverting loop ileostomy creation. However intraoperatively a reach issue occurred with J-pouch and it was converted into S-pouch. Three 12-15 cm small bowel segments are used to create S-pouch. After the initial approximation of the limbs with 3.0 vicryl, enterotomies were made and interior side of the posterior wall was sutured. Later an anterior wall was created with the help of anchor sutures. Subsequently, IPAA was established with staple and a diverting ileostomy was created. After an uneventful recovery patient was discharged home. Although technically more demanding when compared to J-pouch, in patients with reach problems S-pouch has an important role.