The topic at hand is about the complications and success rates of ostomy reversal surgery. This is a procedure where the bowel is reconnected after having an ostomy, and it can come with its own set of challenges and outcomes. Here are some insights and advice shared by individuals who have gone through or are considering this surgery:

- Common Complications:
- People often wonder about the complications that can arise when the bowel is reconnected. Some common issues include leaks, strictures, fistulas, hernias, and scarring.
- Leaks after a reversal can occur, and it's a concern for many considering the procedure.

- Why Not Done Initially:
- Some might ask why a reversal isn't done from the start if it's so common. The initial decision depends on the individual's health condition and the need for the ostomy in the first place.

- Post-Surgery Experiences:
- After the reversal, some experience severe burning during bowel movements, often described as "pooping lava." This is common and usually lasts 1-3 weeks as the body adjusts.
- Relief can be found using diaper wipes, diaper-rash ointment, and adult briefs to protect bedding. Fiber supplements and anti-diarrheals can help thicken the output and reduce burning.

- Varied Outcomes:
- Experiences vary widely. Some report excellent results with normal bowel function, while others face serious issues like constant acidic output, fistula formation, weight loss, and chronic fatigue, leading them to return to an ileostomy.

- Choosing a Surgeon:
- It's crucial to find a colorectal specialist who is open to questions and can explain the risks involved. Laparoscopic approaches, when possible, may reduce pain and scarring compared to open surgeries.

- Diet and Fitness:
- There isn't a specific "reversal diet," but being well-nourished before surgery aids recovery. Losing excess weight is beneficial, but avoid crash dieting as it can deplete energy needed for healing.

- Leakage and Continence:
- Night-time leaks and accidents can happen, so using adult briefs or bed protection is recommended until bowel patterns stabilize. Pelvic-floor exercises might help improve control.

- Real-World Recovery Examples:
- One person had a 6-hour surgery, spent 9 days in the hospital, and returned to work in 8 weeks. Another saw a reduction in burning three weeks post-op.

- Psychological Considerations:
- It's normal to fear another major surgery, especially for those who have had serious health scares. Community support and thorough education are vital in making the decision to reverse or keep the ostomy.