This topic is about dealing with a flat or sideways stoma after having surgery to repair a parastomal hernia. The person is wondering if it's possible to have another surgery to fix the stoma so it protrudes normally again, as the current situation is causing frequent leaks and making it difficult to manage.

Here are some helpful insights and advice shared by others:

1. Surgical Revision Possibility:
- It is possible to have a surgical revision. One person shared their experience of having a similar issue, and after surgery, their stoma was fixed, and leaks stopped.
- Typically, the surgeon might first attempt a simple local revision. If that doesn't work due to adhesions or mesh, a more extensive open surgery might be needed. Recovery time can vary from a couple of days to about a week, depending on the procedure.

2. Managing the Stoma Before or Instead of Surgery:
- Using hard or soft convex barriers or wafers can help manage a recessed or sideways stoma.
- Barrier rings can improve the seal but might add bulk and require stronger adhesives, so some trial and error might be necessary.

3. Community Support:
- Some community members are willing to share unused supplies, like convex wafers, to help others try different solutions before deciding on surgery.

4. Weighing Risks and Benefits:
- Some people prefer a protruding stoma for better sealing, even if it creates a visible bump.
- Older individuals or those with high adhesions might consider the cosmetic benefits against the risks of surgery, especially if the hernia is stable and the appliance is working.

5. Preventing Hernia Recurrence:
- It's important to follow lifting limits strictly, avoiding lifting more than 25 pounds and awkward loads like laundry baskets or multiple grocery bags.
- Getting help with heavy tasks and accepting a slower pace can help protect the repairs and prevent recurrence.