This topic is about managing a colostomy without using ostomy paste, specifically by relying on a precisely-cut wafer to prevent leaks. The person sharing their experience has had a colostomy for six weeks without any leaks and is considering stopping the use of paste, which they find messy. They are seeking advice and real-life experiences from others who have tried going paste-free.

Here are some helpful insights and advice shared by others:

1. If your current routine is working without leaks, consider sticking with it. Changing a system that works can introduce the risk of leaks.

2. You can try stopping the paste and monitor the results. Be prepared to return to using paste if leaks start, as minor leaks can happen to everyone eventually.

3. Barrier rings might be a cleaner and simpler alternative to paste:
- They provide an instant seal similar to paste and are easier to handle.
- Some users find that barrier rings extend the wear time by 2-3 days and help protect the skin around the stoma.
- Make sure to measure your stoma carefully and choose a ring that fits snugly.

4. Using a wafer-only fit (without paste or ring) involves:
- Leaving a tiny clearance to avoid constricting the stoma, allowing the hydrocolloid wafer to swell and fill the gap.
- This method works best when the output is thick or formed, and the stoma protrudes enough for the output to drop directly into the pouch.
- It can be riskier with liquid output or a flush/retracted stoma, as fluid might linger and irritate the skin before the wafer swells.
- Consider your activity level; more movement or sweating might require a more secure seal with paste or a ring.

5. Personal experiences with leaks vary:
- Some users who tried wafer-only experienced more leaks and switched back to rings.
- Others successfully used wafer-only for long periods but later adopted rings for additional skin protection.

6. The "less is best" approach suggests skipping accessories if they are not needed, but keeping them as a backup just in case.

7. Stoma size and shape can change suddenly, so it's important to re-measure regularly and be ready to adjust the hole size or accessories.

8. Some product ideas mentioned include:
- Various brands of barrier rings.
- Salts Stoma Collar from Salts Healthcare Ltd, with free samples available, designed to hug the stoma and prevent leaks.
- A DIY collar made from the tapered neck of a plastic bubble-bath bottle, which can prevent the wafer edge from cutting and protect the skin.