This topic is about considering options for hernia repair after having a colostomy for a long time. The person in question had a colostomy in 2003 due to unsuccessful surgeries for incontinence, and now they have a large hernia near the stoma. Their surgeon advised against repairing it because it might come back. The hernia affects how clothes fit and causes self-consciousness, so they are thinking about consulting another surgeon.

Here are some pieces of advice and insights shared by others:

1. Seek additional opinions: It's a good idea to talk to other surgeons, including gastrointestinal or colorectal specialists, to explore all possible repair options and get the latest information.

2. Mesh-reinforced repair: Some newer surgical methods use mesh to cover the hernia defect. This approach has been reported to have lower recurrence rates compared to simple suture repairs, although it doesn't protect other areas of the abdomen.

3. Understand the risks: Repairing a hernia after an ostomy can be a major and complex procedure with significant risks. Surgeons might only recommend it if there is pain, obstruction, or other serious complications. It's important to weigh the benefits against the potential risks.

4. Expect recurrence: Parastomal hernias are common with ostomies, and even successful repairs can fail over time, possibly requiring more surgeries.

5. Non-surgical coping:
- Consider wearing looser or higher-waisted clothing to accommodate the hernia and avoid putting pressure on the stoma.
- Accept that some bulging might be inevitable and focus on comfort if there is no pain or functional problem.

6. General guideline: If the hernia is painless and not causing any functional issues, many surgeons and patients prefer to monitor the situation rather than opting for elective repair.