This topic is all about comparing different types of ostomy belts, specifically the StealthBelt-style belts, which come in vertical and horizontal orientations, and alternative wraps. These belts and wraps are designed to help conceal and support ostomy pouches under clothing. Here are some insights and advice from people who have used these products:

1. StealthBelt vs. Ostomysecrets Wraps
- StealthBelt, whether vertical or horizontal, offers firm support around the stoma, helps prevent leaks, and is favored for activities like swimming, running, lifting, and in hot weather.
- Ostomysecrets body wraps are great for simple concealment, feel lighter, allow quick access to the pouch, and are often preferred for cooler weather or everyday use.

2. Vertical vs. Horizontal Orientation
- The horizontal StealthBelt is less noticeable until the pouch fills, but it can be tricky for high-output or liquid output, as it may cause "pancaking."
- The vertical StealthBelt uses gravity to pull output downward, which is better for ileostomies or frequent emptying, but it might hang lower and show under shorter or sheer tops.
- Many with colostomies and thicker output find horizontal belts acceptable, while those with high-output ileostomies generally prefer vertical belts.

3. Concealment vs. Support
- Light, wide fabric wraps like Ostomysecrets hide the pouch but don't support the weight of a full bag.
- True support, which keeps the barrier tight and carries weight, comes from a StealthBelt, a 1-inch belt from barrier manufacturers, or wider third-party belts.

4. Monitoring Pouch Fullness
- When using a StealthBelt, it's harder to see or feel when the pouch is full, so high-output users need to check more often.

5. Belt Construction, Materials, and Fit
- The StealthBelt is adjustable and can be tightened quite a bit.
- It comes in firmer Neoprene and stretchier Spandex versions.
- Some users wish the belt were wider, but current designs aim to balance flexibility and bulk.

6. Tape as a Low-Cost Alternative
- A 4-inch strip of Opsite Tape across the top of an empty pouch can hold it against the abdomen and prevent sagging.
- This method keeps you aware of pouch volume, but if the tape is too tight, it might cause output to back up near the stoma. Results can vary based on stool consistency.
- Some users have had success with a "wide pink tape" for the same purpose.

7. Wide Belts Attaching Directly to the Pouch
- There are few commercial options for wide belts that attach directly to the pouch. Most wide support belts encircle the barrier opening instead.
- DIY solutions include modifying existing belts with clips from the manufacturer’s narrow belt or 3-D printing custom parts.

8. Practical Considerations and Cautions
- Extra layers like a StealthBelt or wraps mean an extra step when emptying, which might be inconvenient for frequent emptiers.
- External pressure on a full pouch can compromise the barrier seal, so many users keep the pouch as empty as possible.
- StealthBelt.com offers a how-to-wear video that demonstrates bag placement inside the belt, using a horizontal example.