This topic is about a person who decided to delay their colostomy reversal surgery in favor of having a stoma revision and hernia repair first. This decision was made after consulting with a more experienced colorectal surgeon who advised caution, especially for cancer patients. Here are some key points and advice shared in the discussion:

1. Reversals are significant surgeries that can strain the immune system, and there is a risk of cancer recurrence even when there is "no evidence of disease."

2. Before considering any future reversal, detailed imaging like an MRI to check for pelvic scarring or adhesions, and possibly a PET-CT, will be conducted.

3. The current plan is to proceed with a colostomy revision and attempt to repair a parastomal hernia if possible.

4. The surgeon will not schedule a reversal until the oncologist provides full clearance after chemotherapy.

5. The person is hopeful that the stoma revision will enhance their daily life and be a lasting solution.

Advice and insights from the discussion include:

- It's wise to seek multiple opinions and choose a surgeon you trust, who will order comprehensive imaging to understand the situation fully before operating.

- Patience is crucial; it's better to wait than to risk complications from rushing into surgery, especially when the immune system is weakened after chemotherapy.

- A success story was shared about a patient in their mid-70s who had a smooth reversal but needed to use Imodium (loperamide) for about six months until their bowel function stabilized.

- There is general encouragement and support from others, emphasizing the reassurance that comes from having a surgeon with extensive experience.