The topic is about finding the best tools and techniques for cutting ostomy wafers, which can be a bit challenging with regular scissors. An RN is seeking advice on whether an X-acto knife or another tool might work better. Here are some helpful suggestions from the community:

1. Curved ostomy/scar scissors:
- Coloplast Ostomy Scissors are recommended.
- Premium Ostomy Scissors with a round blunt tip are available on Amazon, though they might be out of stock.
- Allex Ostomy Scissors, with curved blunt tips, are also available on Amazon.
- Curved Mayo scissors or standard bandage/nurse’s scissors are often provided by hospitals.
- It's a good idea to keep extra pairs in emergency kits, as hospitals usually provide a starter pair.

2. Hole cutters for round stomas:
- The Nu-Hope Stoma Hole Cutter is a popular choice.
- If the stoma opening isn't perfectly round, the metal cutter can be customized to the required shape by Nu-Hope, a local blacksmith, an engineering shop, or by adapting pastry/wine-measure cutters with a sharpened rim. Providing a precise template will yield the best results.

3. Knives and craft tools:
- X-acto or other craft knives can be used, but cutting freehand circles can be tricky and may leave sharp edges. Using a rigid template underneath the wafer can improve accuracy.

4. Ready-made options:
- Pre-cut barriers and moldable wafers are available and eliminate the need for cutting. Many people switch to these once post-surgical swelling stabilizes.

5. Alternative scissors sources:
- Small, very sharp thread-cutting scissors from sewing or hobby shops can provide a clean edge and are inexpensive.

6. Practical tips for irregular or changing stoma shapes:
- For figure-8 or variable shapes, it's best to cut a fresh wafer only on change day and re-measure each time, as the size of yesterday’s opening may not fit today.