This topic is about someone dealing with a very low-placed ostomy, which was created during an emergency surgery. The stoma is positioned so low on the abdomen that it can't be seen without using a mirror. This makes changing the appliance quite challenging, as it has to be done mostly with one hand while using a mirror. Additionally, the stoma and appliance rub against each other when walking, causing constant pain. The surgeon mentioned that the stoma wasn't measured during surgery, and revision surgery isn't an option right now due to health reasons. The person is seeking advice from others who might have faced similar issues and is looking for suggestions to manage the pain and awkward appliance changes.

Here are some helpful tips and insights:

1. Prepare the new pouch completely before removing or installing it. This includes peeling the backing and opening the tail. Opt for a light, flexible pouch to reduce bulk and friction.

2. If you can't see the stoma, use your non-dominant hand to form a gentle "peace-sign" with your index and middle fingers to locate and surround the stoma. Keep those fingers in place to guide cleaning and then guide the wafer opening into position with the other hand. With practice, this process becomes quicker and easier.

3. If you need extra help initially, consider asking a friend, home-care nurse, or visiting nurse to assist until you feel comfortable with the technique.

4. Sit on a chair placed in front of the toilet and set a mirror on the toilet seat. This setup provides a full, hands-free view of the stoma, allowing you to use both hands for appliance changes. Adjust the mirror to the correct height for the best view.

5. To reduce rubbing:
- Wear the pouch sideways instead of straight down.
- Use a soft cloth pouch cover to create a buffer between the pouch and your skin or clothing. These covers can be purchased from C&S Ostomy and come in various styles and fabrics.