I came home from the hospital with a paper bag full of ostomy supplies and absolutely no idea what to do with most of them. There were pouches in two different sizes. There was a bottle of something that said "adhesive remover" on the label. There was a ring made of moldable paste and I genuinely did not know what part of my body it was supposed to go on. I had a one-page instruction sheet with diagrams that made no sense to me, and a nurse's phone number I was too overwhelmed to call.
My first week home, I spent more time Googling ostomy supplies than I spent sleeping. Not because I couldn't find information — but because there was too much of it. Every product catalog had fifty options. Every forum had a different opinion. Everyone swore by something different, and nobody could tell me what I actually, truly needed versus what was just nice to have versus what was a complete waste of money.
I wrote this article because that confusion shouldn't be the first thing you deal with when you get home. So let me walk you through what actually matters — from the foundational supplies your system won't work without, to the comfort layer that makes daily life easier, to the things you can safely ignore.
The Basics: What You Actually Need
Start here. These are the non-negotiables — the supplies that make up a functional ostomy routine. You can't skip them, but you also don't need to overthink them.
Your Pouching System
The pouch — the bag itself — is the centerpiece of everything. There are one-piece systems (the skin barrier and pouch attached as one unit) and two-piece systems (a separate baseplate that stays on for a few days while you swap pouches). There are closed-end pouches and drainable pouches. There are different sizes, different materials, different adhesives.
This choice matters more than almost any other supply decision you'll make — and it's personal. What works for my body and my routine may not work for yours. I went deep on this in a separate guide: How to Choose the Right Ostomy Pouching System. Start there before you buy anything else.
Skin Barrier (and Why Your Skin Depends on It)
The skin barrier — also called a wafer or flange in some systems — is the adhesive disc that adheres to the skin around your stoma and holds your pouch in place. This is not optional. The skin around your stoma (the peristomal skin) is delicate, and if you let effluent make consistent contact with it, you will have a skin breakdown problem very quickly. A properly fitting barrier protects that skin.
The hole in the barrier needs to be cut or sized to match your stoma closely — usually within an eighth of an inch. Too big, and skin is exposed. Too small, and you're traumatizing the stoma. Most people measure their stoma weekly in the early months because it shrinks as post-surgical swelling goes down.
Adhesive Remover
That bottle I couldn't figure out in my paper bag? Turns out it's one of the most important things in your kit. Adhesive remover — available as wipes or spray — breaks the bond between the barrier adhesive and your skin safely, so you're not peeling it off and traumatizing your peristomal skin every time you change your pouch.
Skin breakdown is preventable. Adhesive remover is one of the main tools that prevents it. Use it every single change. See the full step-by-step process in my Ostomy Bag Change Guide.
Barrier Rings or Paste
Barrier rings (sometimes called Eakin seals) and barrier paste serve the same purpose: they fill the space between the barrier and your stoma to create a leak-proof seal. They're especially important if your skin around the stoma isn't completely flat — and most people's isn't, especially in the early months.
If you're having leaks, this is often where the fix lives. A moldable barrier ring placed around the stoma before you attach the barrier adds a second line of defense. Many people use these as a standard part of every pouch change.
Ostomy Belt or Support Band
An ostomy belt is a simple elastic band that clips onto your pouch system at the sides and wraps around your waist. It adds support and helps keep the barrier flat against your skin, which extends wear time and reduces the risk of leaks. If you're active, have a soft abdomen, or are dealing with a pouch that lifts or shifts, a belt can make a meaningful difference.
Not everyone needs one full-time, but it's worth having on hand — especially when you're new and still figuring out what your body does throughout the day.
Ostomy Deodorant Drops
A few drops inside the pouch before you close it neutralizes odor from the inside. This is different from sprays you use in the bathroom after emptying — drops go directly into the bag. They're inexpensive, they work, and they eliminate one of the biggest anxiety-producing aspects of having a stoma in public. A few drops every time you attach a new pouch. That's it.
Nighttime Drainage Bag (If Applicable)
This one depends on your ostomy type. If you have a urostomy or a high-output ileostomy, a nighttime drainage bag attaches to your regular pouch and drains into a larger container while you sleep. This means you don't have to wake up at 2am to empty. It's not something every ostomate needs — but if your output is continuous and high-volume, it's worth asking your WOC nurse about.
New to Ostomy? Get the Guide That Covers All of This.
The New to Ostomy: Your First Steps Guide walks you through every supply you need, how to do your first bag change, what to eat, how to build your routine, and how to start feeling like yourself again. Written from lived experience — not a textbook.
Get the Guide — $9.99The Comfort Layer: What Makes Daily Life Better
Once your basics are dialed in, there's a whole category of products that don't keep your system running — they make running it feel more like a regular life. These are optional, but many ostomates swear by them.
Ostomy Wraps and Pouch Covers
An ostomy wrap is a soft fabric band that covers your pouch against your body. They serve multiple purposes: they hold the pouch flat and snug against your abdomen, they absorb any warmth or moisture between the pouch and your skin, and — this is the one most people don't admit out loud — they make it feel less like you're wearing a medical device and more like just... part of you.
Confidence matters in recovery. More than I think the medical world gives it credit for. Anything that helps you feel more at home in your body is worth considering — and that's also why I wear my Beyond the Bag awareness bracelet — not a medical supply, but a daily reminder of community, strength, and that there are thousands of us living this same life. It's also a conversation starter that's led to some of the most meaningful exchanges I've had about my story.
Clothing That Works with an Ostomy
Here's something that surprised me: you don't have to throw out your wardrobe. Most clothing works just fine with an ostomy. That said, a few things help.
High-waisted waistbands are your friend — they support the pouch and keep it from flopping around. Loose tops give you coverage and airflow. Compression shorts or lightweight spandex shorts worn over the pouch (and under other clothing) smooth everything out. Swim trunks or swimsuit bottoms with built-in support work well for the pool or beach.
There's also a whole market of ostomy-specific clothing — swimwear, underwear, and activewear — if you want something designed specifically for the purpose. But most people find that regular clothing with a few small adjustments does the job just fine.
Your Travel Kit
Once you start leaving the house — really leaving, not just to the doctor — you'll want a kit you can take anywhere. Mine lives in a small pouch and goes everywhere with me.
What's in it: two extra pouches, pre-cut barriers (or a cutting template), adhesive remover wipes, a small tube of barrier paste, a few deodorant drops, disposal bags (small, opaque, zip-close), a change of underwear, and a small pack of wipes. That's it. The whole thing fits in a pencil case. I don't think about it anymore — it's just in my bag, the same way my phone charger is.
The confidence that comes from knowing you can handle a pouch change anywhere is hard to overstate. It's what makes you say yes to things you might otherwise skip.
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Get the Bracelet — $7.00What You Don't Need (That People Try to Sell You)
This section exists because I spent real money on things I did not need when I was first starting out. Not because anyone scammed me — but because the ostomy product market is big, and when you're scared and searching at 1am, it's easy to think that more is more.
It isn't. Here's the truth: the average ostomate's functional routine uses about six to eight products. Not twenty. The extensive catalogs from supply companies look overwhelming because they sell products for every body type, every stoma type, every preference, and every edge case — not because you need all of them.
A few specific things I'd encourage you to pause before purchasing:
- Multiple specialty barrier types before you know what your skin needs. Start with what your hospital provided and adjust from there. Don't buy three different barrier formulas at once because a forum recommended all of them.
- Elaborate stoma irrigation supplies — unless your surgeon specifically told you this is appropriate for your ostomy type. Irrigation is a real technique for some colostomies, but it's not universal and not beginner territory.
- Premium "ostomy support" garments at full price before you know your stoma's final settled size and position. Give yourself at least six to eight weeks before investing in anything expensive that fits around your stoma specifically.
- Every odor product on the market. A good pouch, deodorant drops, and a bathroom spray are enough. You do not need a $60 enzyme system.
The most important resources you have in building your routine aren't products — they're your WOC (Wound, Ostomy, Continence) nurse and your own body. Your WOC nurse has seen what works for bodies like yours. Call them before you order a cart full of things you found at midnight. Your body will tell you what it needs — and you'll learn to listen.
Pro tip: Most insurance plans (including Medicare and Medicaid) cover ostomy supplies. Call your insurer before you pay out of pocket for anything. Your WOC nurse's office can often help navigate this process.
Your Supplies Shouldn't Control Your Life
I want to leave you with this, because I wish someone had told me.
In the beginning, the supplies feel enormous. They're all over your bathroom. The routine takes forever. You're thinking about your pouch constantly — when it might leak, whether people can see it, whether you have enough with you, whether you packed the right things. Your bag feels like the biggest thing in the room, every room.
That fades. I promise you, it fades.
When you find the right pouch system for your body — the one that fits well and doesn't demand your attention — it starts to disappear from your awareness. When your skin barrier routine becomes muscle memory, it stops feeling like a medical procedure and starts feeling like getting dressed. When your kit is packed and ready in your bag, you stop thinking about it at all.
The goal of all of these supplies isn't just to keep your stoma working — it's to get you back to your life. The supplies are the foundation. What you build on top of that foundation is everything else: your relationships, your work, your joy, your normal Thursday. That's what matters. That's what Beyond the Bag is here to support.
For the bigger picture of what your first year with an ostomy really looks like — the emotional shifts, the practical milestones, the moment when it finally starts to feel okay — read: Life with an Ostomy: What to Expect in Your First Year. And for a deep-dive on the accessory world beyond the basics: Ostomy Accessories That Actually Make a Difference.
The right supplies don't just protect your skin and your seal — they give you your life back. Find yours, trust your body, and don't let the catalog overwhelm you.
About Stephanie: Stephanie Crawford is a colon cancer and ostomy survivor, author, speaker, and founder of Beyond the Bag — built to be the community and resource she needed and couldn't find.
— Stephanie Crawford, Ostomy Survivor & Founder, Beyond the Bag
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Daily Living with an Ostomy — Routines, Food & Confidence is your complete guide to building a sustainable ostomy routine — bag changes, diet, travel, getting dressed, and reclaiming your confidence. Everything the hospital discharge packet left out, written from lived experience.
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