This topic is about finding ways to discreetly conceal an ileostomy appliance that is positioned above the belt line, especially in a professional setting like teaching. After a surgery that moved the stoma higher due to a parastomal hernia, the person is seeking advice on how to effectively hide the appliance at work. Here are some practical suggestions:

1. Opt for shirts that are one size larger and have busy patterns or stripes. Leaving shirts untucked can help break up any outlines. Oversized or extra-long T-shirts and untucked button-down shirts are often recommended.

2. Use layering to your advantage. Start with a normal-length T-shirt as a base layer, and add a thin or thick flannel, sport coat, blazer, or suit jacket over it. When bending or stretching, button only the lower buttons to maintain a neat appearance.

3. Consider wearing compression or support garments to keep the pouch flat. Options include:
- A tummy sleeve, which can be purchased from maternity stores.
- A compression or anti-hernia vest, such as those from CUI Wear, worn under a shirt.

4. Accessories can also serve as a cover. A fanny pack or waist pack from brands like Nike, Adidas, or Under Armour can be modified by cutting a hole in the back for the pouch.

5. For additional discretion, using a wrap or belly band can help hold the bag close to the body, making it less noticeable.