This topic is about how long it takes for an ostomy to feel natural and become a part of everyday life. The person who started the discussion has been living with an ostomy for five years and still finds it hard to forget about it. They are curious about how others have adjusted over time and are seeking advice from those who have had an ostomy for a long time.

Here are some insights and advice shared by others:

1. Acceptance Timelines
- Some people feel comfortable with their ostomy within 1-2 years, while others may take over 5 years or never fully feel it’s a natural part of them.
- Those who had a long illness before surgery often find it easier to accept their ostomy because their quality of life improves significantly.
- For individuals who had sudden surgeries, like those for cancer, adjusting can be more challenging.

2. Psychological Strategies
- Working through the stages of grief can help, with many finding peace once they reach acceptance.
- Viewing the ostomy as life-saving or liberating and practicing daily gratitude can be beneficial.
- Staying active and engaging in hobbies can distract from thinking about the stoma.
- Humor and even joking about the situation can provide relief.

3. Daily Routines & Practical Tips
- Establish a regular schedule for changing the ostomy bag, typically every 3-5 days.
- Keep extra supplies handy at work, in your car, or when traveling to reduce anxiety.
- Empty the bag before leaving home and be aware of restroom locations.
- Some people avoid eating before social events or after 8 p.m. to manage output.
- Be cautious of activities that might jostle the pouch, like playing with pets or wearing seat belts.

4. Output & Diet Management
- Adjusting your diet, such as eating smaller meals or choosing low-residue foods, can help manage fast-filling issues.
- Some people find that irrigation or "colon training" helps them maintain a more predictable routine.

5. Perspective From Long-Term Ostomates
- Those who have had an ostomy for 30-56 years say that caring for it becomes second nature, though it always requires attention.
- Many prefer life with an ostomy over the pain and inconvenience they experienced before surgery.
- Even those who dislike the appliance report living full, active lives, including traveling and working.

6. Professional & Social Considerations
- Returning to work quickly is possible with careful management of the ostomy.
- Educating close friends or occasionally reminding them can help, as most people won’t notice unless told.

7. Products & Resources
- Experimenting with different pouch brands and accessories is important to find what works best and prevents leaks.
- There are many more options available now compared to previous decades, which can increase confidence.