The topic at hand is about considering surgery for a parastomal or stomal hernia. This is a condition where a hernia forms around a stoma, which can be uncomfortable and affect daily life. The main question is whether undergoing surgery to repair this type of hernia is worth the potential risks involved.

Here are some insights and advice shared by others who have faced similar decisions:

1. Some people suggest avoiding surgery unless it's absolutely necessary. One person shared that they were advised to live with the hernia if the symptoms were manageable, due to the risks associated with surgery.

2. There are positive experiences with surgery as well. One individual had two surgeries for colostomy-related hernias. The first surgery was unsuccessful, but the second one, performed by a surgeon experienced in parastomal hernia repairs, has been successful since 2004. This person experienced significant benefits, such as the removal of a large bulge, relief from pain, and improved pouch adhesion.

3. Another person, aged 77, had surgery shortly after their hernia was diagnosed and reported feeling completely better and as fit as ever. They noted that hernias tend to grow if left untreated.

4. Cosmetic and quality-of-life factors are also important. Some people find that weight loss or time makes the hernia more noticeable, which can motivate them to seek repair. An enlarging hernia can also interfere with the adherence of appliances, cause discomfort, and impact body image.

5. The general consensus among those who chose surgery is that parastomal hernias do not improve on their own and usually get larger. It's important to consult with a surgeon who has specific experience with these types of hernia repairs. An early consultation can help weigh personal risk factors, such as age, other health conditions, hernia size, and lifestyle, against the potential improvements in quality of life.