Choosing the most comfortable and functional site for an ostomy is an important decision, especially if you're considering moving your stoma. The original placement might have been above the mid-line, and now you're thinking about having it moved lower. Here's some advice and insights to help you decide where the ostomy might be most comfortable for you, whether that's above the belt, below the belt, centered, or to the left or right.

- There isn't a one-size-fits-all answer for the best location. The ideal spot is very personal and should consider factors like comfort, how well the appliance fits, skin health, your lifestyle, body shape, and the risk of future issues like hernias or leaks.

- It's a good idea to consult with a surgeon or a WOC (Wound, Ostomy, Continence) nurse who is experienced in stoma siting. They can use professional guidelines, such as the ASCRS & WOCN Joint Position Statement on Stoma Site Marking, to help guide your questions and decisions.

- Placing the stoma through the rectus abdominis muscle is often recommended. While this might mean the stoma is a bit higher, it can significantly reduce the risk of parastomal hernia recurrence.

- Before surgery, have a thorough siting session. This should include standing, sitting, bending, and checking where your usual pant waist and seat-belt sit to ensure that clothing and belts won't rub against the stoma during daily activities.

- Some people with higher stoma placements report that, although it might seem "a little high," proper marking and placement through the rectus can lead to no interference from belts or clothing and fewer post-operative issues.