Trace the shape of your stoma onto the back of the new pouch and
barrier or wafer (wafers are part of a 2-piece pouch system).
Use a stoma guide with different sizes and shapes, if you have
one. Or, draw the shape of your stoma on a piece of paper. You
may want to cut out your drawing and hold it up to your stoma to
make sure it is the right size and shape. The edges of the
opening should be close to the stoma, but they should not touch
the stoma itself. Trace this shape onto the back of your new
pouch or wafer. Then cut the wafer to the shape. Use skin
barrier powder or paste around the stoma, if your doctor or
nurse has recommended this. If the stoma is at or below the
level of your skin, or if the skin around your stoma is uneven,
using the paste will help seal it better. The skin around your
stoma should be dry and smooth. There should no wrinkles in the
skin around the stoma. Remove the backing from the pouch. Make
sure the opening of the new pouch is centered over the stoma and
pressed firmly onto your