The topic at hand is about choosing the best position for a stoma during revision surgery. The person involved is having trouble with their current stoma because it retracts below skin level, making it hard to manage. The surgeon is open to relocating the stoma to a more suitable position, either above or below the belt line, but not directly on it. The person is seeking advice and experiences from others to help make this decision.

Here are some insights and advice shared by others:

1. Above-the-belt placement:
- Many have found success with the stoma placed 2–3 inches above the navel or opposite the old belly-button site. This position avoids interference from waistbands and belts, providing comfort with clothing. Some have had this setup for over 30 years without issues.
- No significant problems with appliance adhesion or daily wear have been reported in this position.

2. Below-the-belt placement:
- This can work well for some, as it keeps the appliance covered by jeans or shorts.
- It's important to ensure the stoma is not placed in a skin fold created when sitting or bending, as this can lead to leaks.

3. Shirt-tucking vs. waistband issues:
- A stoma above the belt can make tucking shirts difficult because the pouch hangs over the belt.
- A stoma below the belt might cause the waistband to snag the barrier if pants slip down without a belt.

4. Hernia considerations:
- The groin or low-abdomen area is more prone to hernias, so placing a new stoma below the belt might increase that risk. It's advisable to discuss this with the surgeon or a hernia specialist.
- Existing stoma sites that will soon be closed cannot be reused, and the side selection also depends on the remaining bowel length.

5. Alternatives to relocation:
- If retraction is the only issue, consider asking if simply lengthening the existing stoma by adding bowel slack is feasible instead of moving it.

6. Technical pointers for revision:
- Reusing the exact spot enlarges the opening because scar tissue around the stoma must be removed, and appliances will not adhere over scarred skin.
- Ensure the new stoma is away from any abdominal creases when sitting, standing, or bending.

7. Pre-surgery testing:
- Try filling spare pouches with water and sticking them to trial locations. Mimic everyday movements to check for folds, comfort, and clothing interference.

8. Abdominal contour matters:
- Surgeons prefer the flattest segment of the abdomen that remains consistent in different positions. Areas with deep creases, scars, or fat rolls can complicate pouching and should be avoided.