The topic is about someone who has undergone an abdominoperineal resection (APR) and is eager to return to rowing, a sport they are passionate about. They are seeking advice on whether it is safe to resume this activity, despite their doctor's suggestion to consider a different sport.

Here are some helpful insights and advice for anyone in a similar situation:

1. Six weeks post-surgery is too soon to start rowing again. It's important to allow your body to heal completely to avoid any complications.

2. Recovery might take longer than you expect. It is generally recommended to wait 3 to 6 months before even considering gentle exercises on a rowing machine.

3. Focus on gradually building your general fitness. Start with activities like walking and slowly increase the distance before moving on to more strenuous rowing sessions.

4. When you do return to rowing, make sure to use a well-fitted ostomy or hernia-support belt. This is important because having an ostomy, especially a colostomy, can increase the risk of developing a hernia due to the opening in the abdominal wall.

5. Hernias or prolapse around the stoma can be very difficult or even impossible to correct surgically, so prevention is key.

6. Always follow the guidance of your healthcare team, including your surgeon, wound-ostomy nurse, or physical therapist, throughout your rehabilitation process.

7. Remember, patience is crucial. With proper healing and the right precautions, returning to full rowing and even racing is possible.