The topic is about dealing with a hernia around a stoma, specifically when there is a noticeable bulge but no pain. The person sharing their experience has had this condition for three years and is unsure if they should seek surgical evaluation or intervention.

Here are some helpful insights and advice from others who have faced similar situations:

1. Pain is not always a reliable indicator of the need for surgery. Some people have large hernias that don't hurt, while smaller ones can be painful. Doctors often wait to recommend surgery unless there are complications like pain, strangulation, or obstruction.

2. If you're unsure about the severity of your hernia, consider asking for an ultrasound or CT scan. This can help determine if the bowel has protruded or is at risk of strangulation.

3. Non-surgical management options include:
- Consistently using support garments. Some options are:
- Nu-Hope hernia belt, which many find helpful for sizing and support.
- A specially designed truss with a hole for the pouch.
- Generic hernia support underwear, which can be layered over a truss but might increase pancaking for those with a colostomy.
- Holding the stoma area firmly when standing, turning, or exerting yourself.
- Wearing support belts or underwear during activities that involve coughing, DIY projects, lifting, or other physical strain.

4. To prevent blockages, consider dietary adjustments:
- Avoid or thoroughly chew large or fibrous foods like peanuts, almonds, and walnuts, as they have caused painful blockages for some.
- Keep your output soft and regular; one person mentioned using Fybogel for this purpose.
- Drainable pouches can be easier to manage if you have a large hernia.

5. Lifestyle adjustments can also help:
- Wearing loose or strategically chosen clothing can help camouflage the bulge and boost confidence.
- Many find belts comfortable once they get used to them.

6. When considering surgery, keep in mind that repeat abdominal operations can increase adhesion pain. Surgeons might delay repair if you smoke or if there is no alternative stoma site. Surgery is usually considered only after ruling out or resolving other complications.