This topic is about someone who is preparing for stoma revision surgery due to issues with a flush (retracted) stoma. The stoma is causing irritation and pain to the skin around it, and there's a small area that has started to turn black. The surgery aims to either pull the stoma out or relocate it to a different spot on the abdomen if necessary. The person is seeking advice and experiences from others who have undergone similar procedures. Here are some helpful insights and advice shared by others:

1. Before surgery, ask your surgeon specific questions:
- Request that the first option be to pull out the current stoma, with relocation as a backup plan.
- Clarify where a new stoma might be placed and how much of the bowel will be exteriorized to avoid another flush stoma.

2. Consider the technical aspects:
- Revising the stoma at the same site can enlarge its diameter.
- If relocating, ensure the new site is on a flat surface, away from skin folds or creases, to help the appliance adhere properly.

3. Understand the recovery differences:
- A simple pull-out procedure generally requires less recovery time compared to a full relocation.

4. Think about clothing and placement:
- Relocating a stoma higher on the abdomen can solve issues like pancaking at the waistline and allow for better bag wear. However, it might make the pouch more visible under thin or soft shirts, so heavier or longer tops may be needed, especially in warm weather.

5. Be aware that multiple surgeries might be necessary:
- Some people have had several revisions and relocations, highlighting the importance of finding the best placement.

6. Consider cosmetic concerns or a tummy tuck:
- Surgeons usually focus on necessary repairs, but an abdominoplasty can be combined if medically justified or arranged with a plastic surgeon.
- Insurance might cover a panniculectomy or tummy tuck if excess skin affects appliance adhesion, but purely cosmetic procedures are typically self-funded.
- Discuss any combined procedures with your surgeon early and check your insurance coverage.

7. Retracting urostomies may also need revision:
- Surgeons might delay this until other complications are resolved.