This topic is about the use of a standard 1-inch elastic ostomy belt, which clips onto each side of the flange or wafer. The person who started the discussion is curious about whether other people with ostomies use this belt, as they have been wearing it since their surgery based on their nurse's advice. They find it reassuring but are unsure if it truly prevents the appliance from being pulled off. They also notice that the belt is not commonly seen in online photos and are considering whether to continue using it.

Here are some insights and advice shared by others:

1. **Occasional or Short-term Use**
- Some people wear the belt only for a short time after applying a new wafer to help the adhesive set, then remove it.
- Others use it during specific activities like irrigating, exercising, or when the adhesive starts to peel.

2. **Full-time Use for Security**
- Many wear the belt all the time for added confidence, as it helps prevent the pouch from pulling down when heavy and reduces the risk of blowouts.
- Affordable options like generic belts from Amazon or the Hollister belt are popular for peace of mind.

3. **Never or No Longer Using It**
- Some people never use a belt or stop using it after healing because modern wafers are reliable even with daily changes and showers.
- Factors like flat peristomal skin, a well-placed stoma, and strong adhesive contribute to not needing a belt.

4. **Alternatives and Upgrades**
- A NU-HOPE hernia belt can offer firmer support than the thin belt, especially after a change.
- DIY solutions include sewing clips onto a wider belt, using a two-belt system, or creating a 3D-printed stoma guard.
- Some switch to a stoma guard full-time instead of using the elastic belt.

5. **Brand/Product Specifics**
- The Hollister ostomy belt is a common choice.
- Some use Coloplast two-piece pouches with a Convatec irrigation sleeve held by the belt.
- Convatec pouch and wafer combinations are noted for staying secure without a belt.

6. **Tips for Better Adhesion Without a Belt**
- Warming the adhesive with a hair-dryer before applying can help.
- Ensuring the skin is completely dry and pressing the wafer gently for several minutes aids adhesion.
- Medical adhesive sprays or pastes can provide extra bonding.

7. **General Consensus**
- The thin belt is more about psychological reassurance than actual mechanical support. Whether to wear it depends on individual anatomy, the type of appliance, activity level, and personal comfort. Some prefer DIY modifications or wider support belts for extra security.