This topic is about someone who has been living with an ileostomy for 18 months and is considering switching to a colostomy. Since a reversal isn't possible, their surgeon has suggested this change while also repairing a parastomal hernia. At 69 years old and otherwise in good health, they are looking for advice from people who have experienced both types of ostomies to help decide if undergoing another major surgery is worthwhile.

Here are some insights and advice shared by others:

1. A person with over 50 years of experience living with an ileostomy reports having a satisfactory quality of life and would not opt to change procedures.

2. Differences in output:
- With an ileostomy, the output is continuous and generally liquid to loose because the colon is bypassed.
- With a colostomy, the output depends on how much of the colon remains. If most of the colon is intact, the stool is firmer and evacuates intermittently rather than continuously.

3. Regulation options with a colostomy:
- Irrigation involves introducing water through a tube into the stoma to empty the colon on a chosen schedule, typically taking about an hour.
- Without irrigation, a pouch is worn and emptied as needed when firmer stool passes.

4. Considerations for surgery:
- Weigh the major surgery and adjustment period against current satisfaction with the ileostomy and the need for hernia repair.
- Personal preference and lifestyle priorities are important factors in making this decision.