This topic is about someone who developed a large parastomal hernia just six months after getting a colostomy. While managing the stoma itself is straightforward, the hernia has become difficult to handle. They are considering reversing the colostomy to the other side of the abdomen and are looking for advice and experiences from others before making a decision.

Here are some insights and advice shared by others:

1. High recurrence rates after repair:
- Many people have experienced hernias returning after both primary suture repair and mesh repair, sometimes within months or years.
- Moving the stoma to the opposite side does not necessarily prevent another hernia from forming.

2. Surgical downsides to consider:
- Each abdominal surgery can shorten the large bowel further.
- Surgeons might refuse additional mesh or complex repairs if they believe the risk of recurrence is too high.
- Surgery might not be an option if there are other health conditions, like abdominal tumors, as it could be life-threatening.

3. Non-surgical management strategies:
- Some people choose to live with the hernia, accepting its appearance and functional challenges.
- Belly bands or hernia support belts may offer limited relief for some.
- Strengthening core muscles through targeted exercises helped one person reduce symptoms and avoid surgery.
- Choosing the right appliances and troubleshooting can help minimize leaks caused by changes in abdominal shape.

4. Lifestyle considerations:
- Avoiding heavy lifting is recommended, but it might not be practical for everyone, especially those caring for small children.
- Deciding between long-term acceptance of the hernia and undergoing repeated surgeries is a personal decision. It should take into account one's activity level, overall health, and expected quality of life.