This topic is about finding a way to fit a stoma pouch properly when you have an oval-shaped stoma. The person is using a one-piece pouch system, but the templates provided are all round, which makes it tricky to cut the pouch opening to the right shape. They are looking for advice on how to get a good fit, possibly with the help of a pouch-cutting tool.

Here are some helpful suggestions:

1. Consider using a mouldable system instead of cutting:
- ConvaTec offers a mouldable flange that creates a "turtle-neck" seal, which can adapt to both round and oval stomas.
- Coloplast also has a mouldable one-piece pouch that removes the need for cutting.

2. Make a custom oval template from the round ones you have:
- Choose the round template that matches the height of your stoma (top-to-bottom).
- Trace this circle onto a piece of paper.
- Then, pick the round template that matches the width of your stoma (side-to-side).
- Trace this second circle, centered over the first one.
- Connect the outer edges of the two circles to form an oval shape.
- Cut out this paper oval and check it against your stoma.
- Trim it if necessary to get a perfect fit.
- Use this paper oval to trace the opening onto future pouches and keep it for reuse.