1. Cut your pouch opening size 5mm (one-quarter inch) larger than your stoma diameter.
2. Dry the skin around your stoma.
3. Hold the Seal by the spout and position accurately underneath your stoma.
4. Mold, wrap, and overlap the arms of the seal around your stoma to ensure a snug fit.
5. Once you have secured the Ostoform Seal around your stoma, insert the spout into the pouch opening. Then, pull the pouch up so that it sits underneath the spout, and press evenly around the pouch to achieve good adhesion to skin and Seal.