New piece of acrylic

Like a patch job? Or replace the entire side?

If you don't want to do the right thing and replace that entire piece of the surround, you could just cut a big rectangle of similar or complementary material and make a patch over the holes, using lots of waterproof caulk around the edge. But it will never look exactly right.

A large escutcheon would cover it.

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Whole thing. I've never seen a way to patch that stuff that doesn't look like dog shit