Purpose: The Hartmann's procedure is the standard in various colorectal emergencies, often followed by surgery to restore intestinal continuity in 6-12 months. Despite its prevalence, there is a lack of studies directly comparing the impact on bowel dysfunction and quality of life pre- and post-Hartmann’s reversal. Methodology: This single-centre study included 94 patients (50 post-Hartmann’s, 44 post-reversal). Participants were asked to complete the Colorectal Surgery Quality of Life Questionnaire one year after their procedure. This questionnaire, comprising 35 questions, includes the Low Anterior Resection Syndrome score as well as qualitative and quantitative questions pertaining to a patient's experience in gastrointestinal symptoms, functional well-being, sexual function, and attitude towards a stoma. Results: Results revealed a higher incidence of abdominal bloating post-reversal (54% vs 32%, p=0.018). However, patients’ post-reversal reported better control of flatus (p=0.009) and faecal continence (p=0.016), with 98% reporting no inadvertent leakage. Post-reversal patients also reported better sleep and appetite (p<0.001). Male patients post-Hartmann’s exhibited higher sexual desire than post-reversal counterparts (p=0.012), while more males post-reversal reported difficulty with erections (p=0.003). Despite this, 87% of patients preferred not having a stoma if given the choice, and 98% did not regret their decision to undergo stoma reversal. Conclusion: This study provides valuable insights into the comparative quality of life outcomes associated with Hartmann’s procedure and its reversal, offering a more comprehensive understanding of the potential challenges and benefits associated with these interventions.