This topic is about managing a Hollister Turn & Lock two-piece ostomy system, specifically whether you can replace the pouch without needing a new wafer. After a surgery, one person is dealing with a pouch that is starting to fail, and they are wondering if they can simply swap out the pouch while keeping the wafer intact. Here are some helpful insights and advice from others who have faced similar situations:

1. The two-piece system is designed for flexibility. You can detach the pouch and snap on a new one while leaving the wafer in place. Many people do this regularly, changing the pouch more frequently than the wafer.

2. If you are experiencing frequent leaks or "bag fails," it might be time to reassess how you are applying the system or consider trying different products. Persistent issues often indicate a mismatch between the product and the stoma or abdomen shape.

3. Consulting with an ostomy nurse can be invaluable. They can provide personalized fitting advice and help troubleshoot any issues with stoma shape or positioning. They can also suggest alternative products that might work better for you.

4. Contacting manufacturers for sample packs can be a great way to try out different products. Companies like Coloplast often provide samples, and some users have found that these samples solved their detachment problems.

5. Sometimes, custom solutions are necessary. One person created their own rigid baseplate, secured with ostomy belts and medical adhesive, which allowed them to use standard wafers for extended periods.

6. To improve visibility during changes, try placing a mirror on the bathroom counter. This can help the user see the stoma area more clearly, whether standing or sitting.

7. For skin irritation at the wafer edge, consider these tips:
- Dust the irritated skin with stoma powder before applying the wafer.
- If irritation is active, cleanse the area, apply aloe vera gel, let it air-dry, wipe it off, and then proceed with the pouch. Many find aloe vera more effective than barrier creams.

8. Keep useful accessories on hand, such as adhesive remover spray, stoma powder, support belts, and sample tapes or rings. These can help extend wear time and reduce leaks.

These insights and tips can help manage the ostomy system more effectively and comfortably.