The topic is about someone who has a descending colostomy and is dealing with ongoing, painful mucus discharge. They are considering a surgical procedure known as Barbie Butt surgery to address this issue. Here are some insights and advice related to this situation:

1. Barbie Butt surgery usually does not require changing a colostomy to an ileostomy; the colostomy generally stays as it is.
2. After the surgery, stitches are typically removed about 2 to 3 weeks later.
3. It's important to avoid using pads that are too thick over the perineal incision, as too much pressure can cause discomfort or slow down the healing process.
4. In many cases, mucus production may decrease and become more manageable over time, so it might be worth considering waiting and monitoring the situation before deciding on surgery.
5. It's crucial to seek thorough and expert medical advice to carefully weigh the potential benefits of Barbie Butt surgery against any possible complications.