This topic is about finding a way to keep hand-made covers for transparent ostomy pouches securely in place. The challenge is that the covers tend to slip off, especially when the wearer moves around. The person seeking advice wants to know how commercial covers manage to stay put and whether using elastic or another method would help. Here are some helpful suggestions and insights:

1. Elastic Option: Many commercial covers use elastic sewn around the back opening to grip the rear of the pouch, which helps keep the cover in place.

2. Non-Elastic Hem: Some people find success by simply hemming the back opening. If the elastic is too tight, it might actually push the cover off, so this could be a simpler solution.

3. Small Back Opening: Cut the hole just large enough to stretch over the flange ring. You can fold the bag to pull it through, which helps the cover stay on better.

4. Deep Top Panel: Sewing a deeper upper section allows the cover to "hang" over the pouch, which can help it stay put.

5. Add Stiffness: Using iron-on interfacing or a doubled fabric layer at the upper back piece can prevent the cover from collapsing and sliding off.

6. Use Pouch Belt Tabs: Stitch a narrow piece of elastic to the top edge of the cover and loop it through the pouch’s built-in belt tab for extra security.

7. Study Commercial Designs: Contact manufacturers for free sample covers, examine how they are constructed, and use the best-fitting sample as a sewing template.

8. Alternative Body Supports:
- Beband (maternity belly band) from Target can wrap around the abdomen.
- $5 Target tube tops can be used like a belly band, which is cheaper than $20-25 maternity bands.
- NuHope stoma belts (4-inch wide models are available, and Medicare may cover them with a prescription).

9. Comfort Tips:
- Placing baby bibs or baby washcloths between the pouch and skin can absorb sweat in hot weather.
- Using decorative fabrics with fun designs like Mickey Mouse or smiley faces can make the cover more enjoyable to wear.

10. Personal Preference: Some people choose not to use covers at all. Instead, they wear opaque 12" pouches and tuck the tail into their underwear. It all depends on what feels most comfortable and convenient for the individual.