Returning to work after surgery can be a big step, especially if you've had an ostomy. One person shared their experience of going back to their job as an in-home caregiver. They worked a four-hour shift on their first day back and felt tired but relieved that their ostomy pouch stayed quiet, which was their main concern. Although they were initially nervous, they hope these feelings will ease over time. They also mentioned how they once received home-help when they were ill and now find joy in providing the same service to others.

Here are some helpful tips and insights for anyone in a similar situation:

1. Phased return helps: Starting with shorter shifts, like four hours, can help you gradually build up your stamina. The first week might be especially tiring, but things usually get better as you settle back into your routine.

2. Observe lifting limits: After surgery, doctors often recommend not lifting more than 10 pounds (about 4.5 kg) to prevent stoma hernias. Even activities like walking a strong dog can exceed this limit, so be cautious.

3. Adjust job duties: Consider shifting to lighter tasks, doing more paperwork, or even moving to a part-time or semi-retired schedule. This can help you continue working while protecting your stoma.

4. Communicate with HR early: Keeping your human resources staff and supervisors in the loop can help you get the accommodations and support you need for a smoother transition back to work.

5. Improve pouch wear time and leak security:
- Try out barrier rings and extended-wear pouching systems. You can request free samples from manufacturers to find what works best for you.
- Clean the skin around your stoma with hot water or a lotion-free soap.
- Avoid using barrier wipes if they seem to reduce adhesion.

6. Expect confidence to grow: Concerns about noise from your pouch usually fade over time. Going back to work can help restore a sense of normalcy and independence.

7. Plan around finances: If you have limited sick pay, you might feel pressured to return to work sooner. It's important to balance your financial needs with medical advice to avoid overexertion.