This topic is about managing recurrent ostomy hernias and concerns related to existing surgical mesh. A 67-year-old individual is dealing with two hernias, one near the stoma and another on the opposite side. These hernias were previously repaired using laparoscopic surgery in 2014, during which surgical mesh was placed. The current surgeon has advised against further repair until the patient loses at least 35 pounds, unless an urgent complication arises. The patient is worried about the visibility and feel of the mesh under the skin, the potential growth of the hernia near the stoma, and the possibility of removing the existing mesh. There is a general feeling of frustration with the situation and the weight-loss requirement.

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

1. Weight-loss and lifestyle modification
- Strengthening the abdominal wall isn't just about surgery; lifestyle changes are crucial.
- Losing the recommended 35 pounds can improve surgical outcomes and may help reduce the size and pressure of the hernia.
- After any repair, it's important to avoid heavy lifting or activities that strain the abdominal muscles to prevent recurrence.

2. Recognize limits of hernia repair durability
- Hernia repairs, especially those involving mesh, are not always permanent. Repeated surgeries can weaken the tissue further.

3. Choose your surgeon carefully
- It's important to find a surgeon you trust completely, as their technique and experience are vital.
- One person shared a story about a relative who experienced severe complications from a poorly executed hernia repair, including extensive bruising and swelling.
- If you're not confident in your current surgeon, consider getting second or third opinions, even if it means looking outside your local medical network.

4. Prepare for long-term self-management
- While waiting for surgery, focus on weight control and cautious daily habits, as these are the factors you can directly manage.