The topic at hand is about the repair of a parastomal hernia, which is a type of hernia that can develop around a stoma. This discussion focuses on the outcomes of such repairs, the risk of the hernia coming back, and the best time to consider surgery. Here are some insights and advice shared by others who have faced similar situations:

- Parastomal hernias have a high chance of recurring. Many surgeons prefer to delay surgery unless there are significant issues like pain, obstruction, problems with the stoma pouch, or skin breakdown.

- Getting a second opinion is highly recommended, especially from a surgeon who frequently performs parastomal hernia repairs.

- The experience of the surgeon is crucial. One person shared that their first repair by an inexperienced surgeon failed within a year, but a second repair by a specialist has been successful since 2006. It's important to find a surgeon who regularly deals with stoma-related hernias.

- There is a debate about using mesh in repairs. Some surgeons achieve good results without mesh due to concerns about mesh migration and infection. However, complications like chronic wounds and bleeding can occur with mesh, so it's wise to consult an expert if these issues arise.

- If symptoms are mild, some people choose to live with the hernia and use a support belt to manage the bulge. Surgery is often avoided unless there is pain or issues with the stoma appliance. However, wearing a support belt for long periods can be uncomfortable.

- Surgical outcomes can vary. Some have had successful, pain-free results without mesh for over two years. Others have experienced mixed results, such as soreness and temporary digestive issues after surgery. In cases of large hernias causing appliance failure and pain, surgery has provided long-term relief.

- After surgery, expect significant soreness for one to two weeks. There might be a temporary condition where the stoma stops working, and sometimes hospital readmission is necessary.

- Be aware of red-flag symptoms like bleeding or discharge from an abdominal wound. These should be treated urgently and assessed by an experienced colorectal or abdominal wall surgeon.