This topic is about deciding between hernia repair surgery and using an ostomy support belt to manage a parastomal hernia. Here are some helpful insights and advice from people who have faced this decision:

1. It's a good idea to have a support belt ready as soon as you notice a bulge. Delays in getting or fitting a belt can allow the hernia to grow larger.

2. Many people find it challenging to get commercial ostomy belts in the right size or find them uncomfortable. Make sure to take accurate measurements and request a replacement promptly if the belt doesn't fit well.

3. If commercial belts don't work for you, some have had success adapting back-support belts, like a lumbar support belt from a hardware store, by cutting an opening for the pouch. This can offer better comfort and control.

4. While belts can provide noticeable support and make daily activities easier, they are unlikely to prevent a hernia from forming or getting bigger. It's important to use the belt along with practicing careful body mechanics and avoiding heavy lifting.

5. Some people prefer conservative management. If the hernia can be easily pushed back, isn't painful, and doesn't affect stoma function, they choose to continue using a belt instead of opting for surgery. This is often due to mixed outcomes from surgery and a personal reluctance to undergo another operation.

6. Surgeons might order imaging, like a CT scan, to assess the severity of the hernia before suggesting repair. It's important to discuss the risks, benefits, and your personal priorities with the surgical team before making a decision.