When it comes to choosing the right Stealth Belt for ostomy support, you might find yourself deciding between a vertical or horizontal orientation. Here's some friendly advice and insights from others who have been in your shoes:

1. Comfort and Fit
- Some people feel that Stealth Belts, particularly the horizontal ones, can press too tightly on the stoma, while others find them comfortable when worn as a light wrap.
- One person mentioned they only use a wide elastic exercise waistband for support during weight training instead of a Stealth Belt.

2. Pouch-Emptying Frequency
- Those using a vertical Stealth Belt often find they need to empty their pouch less frequently. In contrast, the horizontal orientation might require more frequent emptying since the output tends to sit across the belt.

3. Dependence on Pouch System and Output Type
- If you have a colostomy and use a one-piece system with firmer output, a vertical belt might be preferable since the bag can't be rotated sideways.
- For two-piece systems, like the Coloplast SenSura Mio Click Drainable Pouch, you can rotate the pouch. This allows you to wear it horizontally for activities like running or biking and switch back to vertical for easier emptying.

4. Alternative Belts and Brands
- Some people prefer wafer-mounting belts from brands like Coloplast and Hollister, which support the flange and let the bag hang freely, avoiding issues like pancaking.
- One user combines a mounting-plate belt with an additional side wrap for extra support.

5. Product-Specific Feedback
- The Stealth Belt Pro (horizontal) received mixed reviews, with some saying it wasn't worth the money. However, an older vertical model with peristomal-hernia support was appreciated, despite some concerns about customer service.
- Many users are happy with the Coloplast SenSura Mio Click system when paired with a horizontal Stealth Belt.

6. Practical Tips
- Consider your stoma position, output consistency, activity level, and whether your appliance can rotate before deciding on the belt orientation.
- For sports, a horizontal belt can prevent the pouch from flapping around, while a vertical belt might make regular wear and management easier.
- Be ready to experiment with Stealth Belts, as experiences with tightness, support, and pancaking can vary widely.