The topic at hand is about dealing with a hernia that has developed around a stoma. This can be a complex issue, and the person is trying to decide whether to stick with their NHS surgeon or seek a private specialist for the repair. They are looking for advice, especially from an experienced stoma nurse, to make the best decision. Here are some helpful insights and advice:

- Before making a decision, ask the surgeon some direct questions:
1. How many parastomal or ventral hernia repairs do they perform regularly?
2. What surgical method do they plan to use (such as mesh, relocation, or "darning")?
3. What is the expected recurrence rate, and what are the post-operative care instructions?

- If the hospital has a designated hernia or colorectal specialist, it might be beneficial to choose that surgeon, as their experience is crucial for a successful outcome.

- Current literature on ostomy care suggests that repairing the hernia and relocating the stoma is often favored. However, many surgeons still opt to repair the hernia in its current location unless it is very large or there is excessive scar tissue. It's important to understand your surgeon’s approach.

- The success of the surgery depends on the surgeon's skill, the patient's overall health, and following recovery guidelines closely. Make sure to get detailed post-operative instructions.

- Some people have reported good results when mesh is used to reinforce the hernia defect. One surgeon mentioned using mesh for a ventral hernia and would have done the same for a parastomal hernia instead of relocating the stoma.

- If possible, try to find a high-volume colorectal or hernia specialist, even within the NHS. While private care is an option, the surgeon's specialization is more important than whether you go through the NHS or private care.