Flying long-haul with an ileostomy can seem daunting, especially if you're planning a journey as long as 19 to 30 hours, like a trip to Perth, Western Australia. Here are some practical tips and advice to help make your travel experience smoother and more comfortable:

1. Supplies & Packing
- Bring at least twice the number of wafer and pouch changes you typically use, and keep them in your carry-on luggage.
- Have a small bag with a complete change (pre-cut pouch, wafer, skin prep, wipes/powder, tape) and spare underwear to take to the lavatory.
- If you need more supplies while in Perth, the WA Ostomy Association stocks most brands.

2. Clothing & Seating
- Wear loose, comfortable clothing and pack a spare outfit in case of spills.
- Choose an aisle seat in economy class to easily access the bathroom. If you don't need frequent bathroom trips, a window seat is also an option.
- Consider requesting disability pre-boarding to secure a seat near the toilet and inform the cabin crew about potential frequent visits.

3. Food, Drink & Output Management
- Some travelers with ileostomies stop eating about 5 hours before departure to manage output.
- For shorter flights, eat just before boarding; for longer flights, bring your own food or buy on board.
- Request a special meal from the airline, such as sugar-free or wheat-free, to be served first and access the restroom before queues form.
- Stay hydrated and bring a small water bottle to rinse the pouch if needed, as plane toilets have limited water.

4. Using the Aircraft Lavatory
- Empty your pouch right before boarding; many can go 5-6 hours before needing to empty again.
- Use a paper or plastic cup to add water to the toilet bowl for easier emptying.
- Brace yourself during turbulence and avoid wearing white clothing.
- Use a disposable under-pad on the floor in wet lavatories to keep your shoes and clothes dry.

5. In-Flight Changes
- Changing a pouch in the lavatory is manageable if you have everything in a small bag.
- Some travelers report needing to change only once during multiple long-haul flights.

6. Cabin Pressure
- Many travelers experience no ballooning or pressure effects on the pouch at cruising altitude.

7. Airport Security
- Standard metal detectors do not detect the pouch, so there's no need to mention it unless asked.
- For full-body scanners, inform the officer about your ostomy; responses may vary from a hand-swab to a light pat-down.
- Download and print the blue Ostomy Travel Card from www.uoaa.org, as some agents recognize it.
- Wet wipes and other non-liquid supplies can remain in your hand luggage without declaration.

By planning ahead, packing extra supplies, managing your meals, and securing a comfortable seat, flying long-haul with an ileostomy can be a routine and stress-free experience.