How to Apply an Ostomy Belt

An ostomy belt is an elastic accessory that attaches to your pouching system, helping to hold it in the right position. Ostomy belts can prevent leaks and provide a sense of security.

How do you know if you need an ostomy belt? You may want to try one if:

  • Your skin barrier frequently lifts up at the edges
  • You often have leaks on one side of your skin barrier/flange
  • You have a convex pouching system
  • You feel your pouching system shifting position during the day, and you often have to readjust it
  • You worry about your pouching system leaking or becoming detached

You may choose to wear an ostomy belt all the time, only during certain activities, or not at all. Not every pouching system is compatible with belts — look for tabs on both sides that connect to a belt.

Hand-wash your belt with mild soap and line-dry. When you notice the belt losing its elasticity and stretching out, it’s time to replace it.

This quick guide will show you how to put on an ostomy belt.

Step 1: Attach the belt to one tab on your pouching system

Make sure the belt tab is facing away from your skin.

Step 2: Tug on the belt to make sure it’s secure

The belt tab should be locked in place.

Step 3: Wrap the belt around your waist

Bring the other end of the belt around your back. It should be no more than 2 inches away from the tab on the pouching system (without stretching). Adjust the belt length, if needed.

Step 4: Attach the belt to the other tab

Stretch the belt and connect it to your pouching system, with the belt tab facing away from your skin. Check the fit: You want the belt to feel snug (but not too tight) when fully stretched and attached. You should be able to easily slide two fingers between the belt and your skin.

Step 5: Tug on the belt to make sure it’s secure

Both belt tabs should be locked in place.

Step 6: Make sure the belt is properly aligned

The belt should be horizontal, in line with the belt tabs. If it rides up, you’ll need to tighten or adjust it.