This topic is about someone who is preparing for their 39th surgery to address multiple hernias. After many previous operations, they are now working with a new colorectal surgeon at the Cleveland Clinic. The past surgeries and radiation treatments have left their abdominal tissues weak, and they are dealing with three large hernias, one of which is affecting their stoma. The new plan involves a collaborative surgery with a plastic surgeon to reposition tissues and reinforce the area with a synthetic mesh. The surgery is tentatively scheduled for June, pending insurance and clinic approval. The person is feeling anxious but hopeful and is seeking prayers and advice.

Here are some helpful insights and advice shared by others:

1. Having both a plastic surgeon and a colorectal surgeon work together can be beneficial. This approach, known as "separation of parts" or "component separation," can help strengthen the abdominal wall. Some have had long-lasting success with this method.

2. Some surgeons prefer to avoid using biological or synthetic meshes due to the risk of infection. Success has been reported when component separation is combined with careful tissue handling, even without mesh.

3. Wearing a hernia support belt daily, except when bathing and sleeping, has helped some people maintain their repair.

4. If the hernia repair results in an uneven stoma site, using convex wafers and stoma paste can help prevent leaks.

5. It's important to avoid lifting or straining after surgery to protect the new repair.

6. Many people have praised the surgeons and staff at the Cleveland Clinic, describing them as top-notch.

7. Keeping a sense of humor and a positive outlook is often encouraged as part of the healing process.