This topic is about finding the best body position and techniques for applying an ostomy bag to prevent leaks. The person asking the question currently applies their pouch while standing but is experiencing leaks, especially when sitting down. They are curious if changing their position to sitting or lying down might help improve the seal.

Here are some helpful tips and insights:

1. Body Position & Posture
- Many people apply their pouch while standing, but others find success sitting or lying partially reclined. The key is to apply the wafer when your abdominal skin is in the position it will be most of the day—flat, not bunched.
- Lying slightly propped up on a bed can help gravity flatten the belly for a better application.

2. Visual Aids
- Use a mirror on the vanity, cistern, or a handheld mirror for a closer view if applying while standing.

3. Product Choices & Configuration
- Common systems include Hollister 2-piece or 1-piece systems, but leaks can still happen if the stoma is flush or retracted.
- Convex wafer/flange styles, like SenSura Mio Convex Flip or Hollister convex models, can improve seals on uneven or curved abdomens.
- Nu-Hope Labs offers custom and specialty products for challenging stomas.

4. Barrier Rings & Seals
- Barrier rings, such as those from Hollister or Eakin Cohesive wax rings, can help fill gaps.
- Warm the ring with a hair dryer or your hands, stick it to the wafer first, then apply the whole assembly.
- Use strong adhesive tape around the wax ring or wafer if it doesn't have integral tape.

5. Application Technique
- Clean the area thoroughly; many people shower bag-free first thing in the morning when the stoma is quiet.
- Ensure the skin is completely dry; use a skin-prep/barrier spray and let it dry.
- Shave any hair in the adhesive zone for better adhesion.
- After attaching, press with warm hands for 1–2 minutes (some hold for 5–10 minutes) to activate the adhesive.
- Some people lie down after application to maintain even pressure while the seal sets.

6. Accessories
- A supportive ostomy or hernia belt can help maintain constant, even pressure on the barrier and reduce edge lift when sitting.

7. Troubleshooting Mindset
- If multiple products fail, keep experimenting. Leaks often require trial and error as body shape, output, and stoma height can change over time.