To mesh or not to mesh at hernia site?

I've seen a general surgeon for the past few months and he wants to do the hernia repair and use the mesh. The opening is 3.5 inches wide and is about the length of my open RNY insision scar. I have also seen a plastic surgeon and he says he can do the hernia repair but he says the mesh isn't neccesary. I've been told by both doctors the hernia is of considerable size. The general surgeon is an old well respected surgeon in this area but the plastic guy has done quite a few baratric patients with hernias. Who do I believe? Should I insist the plastic surgeon use the mesh?

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