This topic is about a person who has been dealing with daily leaks and skin issues due to their stoma being located in a deep skin fold. After trying various non-surgical solutions with the help of ostomy nurses and a specialist, they were advised to undergo an abdominoplasty, commonly known as a tummy tuck, along with a stoma revision. This procedure aims to create a flatter surface for the pouch, hopefully ending the cycle of leaks. The person is seeking advice from others who might have had a similar experience.

Here are some helpful insights and advice:

1. **Seek Multiple Opinions**
- Consult with a skilled Wound, Ostomy, and Continence (WOC) nurse to ensure all possible non-surgical options have been tried, including different products and techniques.
- Some people manage well without surgery, so it's important to explore all avenues first.

2. **Consider Surgical Opinions**
- Get opinions from multiple surgeons, as some may be hesitant to perform the procedure due to risks like scar tissue and infection.

3. **Use Medical Terminology**
- Refer to the procedure as "abdominoplasty for medical necessity" to avoid it being labeled as cosmetic, which can affect insurance coverage.
- Have your medical team document the issues to support your case for insurance approval.

4. **Insurance and Costs**
- Be aware that insurance might only cover the side with the stoma, potentially leading to asymmetry. Discuss options with your surgeon.
- Medicare may cover 80% if the procedure is inpatient, so prepare for potential out-of-pocket costs.

5. **Surgical Considerations**
- Ensure the colorectal surgeon will be present for any necessary stoma revision.
- Be prepared for post-surgery recovery, including drains, swelling, and a period of bent posture.

6. **Real-World Experiences**
- Some have found success with the procedure, while others have faced challenges like asymmetry or denial of surgery due to perceived risks.

7. **Alternatives to Surgery**
- Before opting for surgery, try different pouching systems, barrier rings, and support garments.
- Some people choose to live with their current body shape and focus on finding a leak-proof system.

8. **Finding Surgeons and Resources**
- Consider clinics and surgeons recommended by others, such as those in Toronto.
- Convatec nurse representatives can help document your needs and suggest modifications to your appliance.

These insights aim to provide guidance and support for anyone considering a similar path to address their ostomy-related challenges.