The topic at hand is about the challenges and experiences associated with colostomy reversal surgery compared to the initial colostomy creation. The original poster was informed by their surgeon's physician assistant that the reversal might be more difficult than the first surgery, and they are curious if others have had similar experiences.

Here are some insights and advice shared by others:

1. Experiences with colostomy reversal can vary greatly:
- Some people find the reversal surgery more challenging due to issues like adhesions and scar tissue, which can make the surgery and recovery longer. Healing of the incision and unpredictable bowel movements can also add to the difficulty.
- Others find the reversal easier, reporting less pain, quicker healing, and shorter hospital stays, especially if the surgery is done laparoscopically or through the stoma site.

2. The surgical approach can make a difference:
- Laparoscopic surgery or entry through the stoma site often results in a faster recovery compared to an open midline incision with staples.
- Planned reversals are generally less traumatic than emergency colostomy surgeries.

3. Individual factors can affect the complexity of the surgery:
- Previous complications such as fistulas, blood clots, internal bleeding, or extensive radiation and surgical scarring can make the reversal more difficult or even not advisable.
- The amount of remaining colon, like having only 17 cm left, can influence the outcome and recovery expectations.

4. Advice for making decisions:
- It's important not to rely solely on a general comment from a physician assistant. Have a detailed discussion with the lead surgeon, and if you're unsure, consider getting a second opinion from a surgeon experienced in complex reversals.
- Be aware that surgical plans can change during the operation, such as a planned laparoscopy converting to open surgery, or a reversal becoming a permanent ileostomy. It's helpful to be mentally prepared for all possibilities.

5. Tips for recovery:
- Expect bowel function to be unpredictable initially; patience and gradual progress are important.
- Take recovery one day at a time, seek support from nursing or ostomy professionals, and stay optimistic—most people find the journey worthwhile in the end.