This topic is about a man who has undergone several abdominal surgeries, including a vasectomy, a laparoscopic sigmoidectomy for diverticulitis, and an emergency re-operation with a temporary colostomy. Since these procedures, he has been experiencing significant pain during and after sexual intercourse, which has been a source of concern and discomfort. Here are some insights and advice that might be helpful:

1. **Understanding Scar Tissue and Pain**:
- After multiple abdominal surgeries, it's common to develop scar tissue, which can cause pain in the groin area. This type of pain often decreases over time with regular activity, including sexual intercourse.

2. **Patience and Gradual Activity**:
- It's important to continue being intimate as much as is comfortable. The pain usually lessens as the area is used more, provided no new injuries occur.

3. **Consulting Medical Professionals**:
- If the pain becomes too much to handle or worsens, it might be beneficial to seek a second opinion from another surgeon or specialist. They can check for issues like scar-tissue entrapment or hernia involvement.

4. **Managing Pain with Medication**:
- Taking pain relievers before and after intercourse might help. If over-the-counter options aren't effective, discussing other non-opioid prescriptions or NSAIDs with a doctor could be worthwhile, especially considering the upcoming stoma reversal surgery.

5. **Navigating Medical Advice**:
- There seems to be some back-and-forth between the primary care physician and the surgeon regarding the hernia. It might be helpful to clarify roles and responsibilities to ensure the best care plan is in place.

These points aim to provide some guidance and reassurance while navigating the challenges of post-surgery intimacy pain.