Flying with an ostomy can feel a bit daunting, especially if it's your first time. But with a little preparation and some helpful tips, you can make your journey smoother and more comfortable. Here’s what you need to know:

- When it comes to airport security, most ostomates don't face major issues. TSA agents might perform a pat-down, a hand-swab for explosives, or a visual check if the body scanner flags your pouch. It's a good idea to let them know you have an ostomy before you go through the scanner. This might limit the search to a residue test or a light pat-down. If you have a TSA PreCheck pass or use the metal-detector lane, you might avoid the full body scanner and pat-down altogether. Having an ostomy travel card or an airport-issued ostomy lanyard can also help speed things up, though many travelers find they don't need to show it. Remember, staff knowledge and attitude can vary, but most are polite. A bit of humor and calm explanations can go a long way.

- For packing, keep all your essential supplies in your carry-on in case your checked luggage gets lost. Medical supplies can often be carried as an additional free medical bag. Pre-cut your flanges at home to avoid carrying scissors, or pack blunt-nose scissors, which are usually allowed but sometimes confiscated. Place your supplies in a clear zip-lock bag labeled “Ostomy Supplies” and inform security as you place it on the belt. Make sure any paste, lubricants, adhesive removers, and other liquids or gels are in containers that meet the 3-oz / 100-ml liquid rules. Having a “fly kit” or several small “three-of-everything” change packs at the top of your carry-on can save time if you need a mid-flight change. It's also wise to bring a full change of clothes in a backpack for any accidents.

- In-flight, aircraft cabins are pressurized, so altitude usually doesn't cause extra gas in the pouch. It's a good idea to empty your pouch before going through security and again before boarding. For longer flights, some people limit their food intake a few hours before flying, while others prefer to choose seats near the lavatory and carry drinking water.

- There are helpful resources and products available, like the ostomy travel card from the United Ostomy Associations of America and the Coloplast online travel guide. Some airports, like Manchester Airport in the UK, offer an ostomy lanyard.

- For reassurance, many travelers with ileostomies and colostomies have flown multiple times without any appliance failures. The main inconvenience might be the occasional extra screening, but confidence grows after the first trip. So, try to relax, enjoy your flight, and remember, “don’t worry, be happy.”