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I don’t know that it’s true that a recurrence after a pure tissue repair is going to be bigger. As you read through posts on the forum you’ll find that many things are said about hernias that are actually not very likely. You might die, you might end up in the emergency room, etc. A recent poll of surgeons showed that most of them would wait if they had a hernia.
You said that your body does not like foreign materials. What do you mean by that? Have you had reactions to sutures or some other foreign material? That would be important to consider.
When you are talking to surgeons or reading what they have to say or watching their videos remember that they can understand recurrences. Because they can see them. They do not understnad chronic pain and discomfort because the cause is not clear. Much time is spent by the hernia repair community discussing whether or not the patient’s pain is primarily mental. In their head, and not actually physical. All surgeons learn this in medical school and during their residency and at many of the meetings that they attend. Even surgeons that run large pain clinics will wonder aloud why patients don’t want mesh after they have mesh removed for chronic pain. They are all taught that mesh does not cause pain.
Also be aware that if you have a pure tissue repair and it fails you can always get mesh. But if you have mesh problems it’s a whole new world.
There are several Topics on the forum about umbilical hernias. Try to find them and read all of them. Good luck.