Parastomal Hernia Belt
Parastomal Hernia Ostomy Belt: Support From Someone Who Lives With a Stoma
If you have a parastomal hernia, or you are worried about getting one, you are not alone. A bulge around the stoma is one of the most common concerns I hear about at ostomy support groups and educational conferences. I have lived with an ostomy since 2008 and have been designing and wearing performance ostomy support belts since 2009, so this page is the guide I wish I had.

What is a parastomal hernia?
A parastomal hernia happens when part of the intestine pushes through the abdominal wall next to the stoma, often showing up as a bulge. The UOAA parastomal hernia guide and Cleveland Clinic both explain the signs well. If you notice a bulge, pain, or changes in output, talk with your surgeon or a WOC nurse. You can find a WOC nurse near you here.
How an ostomy support belt can help
Many people use an ostomy support belt as part of the plan their surgeon or nurse recommends. A good belt gives firm, even support around the stoma area, helps keep the pouch secure, and adds confidence when lifting, bending, coughing, or staying active. The American College of Surgeons ostomy home skills program also covers everyday tips for living well with a stoma.
Which HIRO ostomy belt is right for hernia support?
For hernia support I recommend the HIRO Performance Horizontal or Performance Vertical. They are fully adjustable, so you can set the support level that feels right and change it through the day. The Ultralight Sleek Fit is a lighter slip on band, great for discreet everyday wear, but the Performance gives more adjustable support. Not sure about the opening direction? Read my horizontal vs vertical guide, then check the sizing guide so the fit is snug and comfortable.
Shop the HIRO Performance Ostomy Belt
Why HIRO
- Designed by Richard O'Hamill, the original inventor of the performance ostomy support belt, designing belts since 2009
- Free U.S. shipping and next day dispatch from Honolulu
- Real help from a person who has an ostomy, by phone at 808.600.3567 or by Zoom
Common Questions About Parastomal Hernia Belts
Can an ostomy belt help with a parastomal hernia?
Many people use an ostomy support belt as part of the plan their surgeon or WOC nurse recommends. A good belt gives firm, even support around the stoma area and keeps the pouch secure when lifting, bending, or coughing.
Which HIRO belt is best for hernia support?
The HIRO Performance Horizontal or Performance Vertical. Both are fully adjustable, so you can set the support level that feels right and change it through the day.
Should I talk to a doctor before wearing a hernia belt?
Yes. If you notice a bulge, pain, or changes in output, talk with your surgeon or a WOC nurse before choosing a belt.
Have more questions? Visit the ostomy belt FAQ or contact me directly. I am happy to help you pick the right size and style.
Personal note: I am not a doctor, and this page is not medical advice. It reflects my own experience and many conversations with nurses and clinicians over the years. Always follow the guidance of your surgeon or WOC nurse for a parastomal hernia.