Can I swim in the HIRO Performance Horizontal ostomy belt?

Yes. The fabric is quick drying and breathable, so it works for swimming, surfing, and showering.

Can I wear the HIRO Performance Horizontal ostomy belt for sports?

Yes. It was built for sports. The horizontal style keeps the pouch off to the side so bending and twisting don't compress it.

HIRO Performance ostomy support belt, horizontal style, front view

HIRO Performance Horizontal Ostomy Belt

Left / 2 1/4in / XXS

$145.00

HIRO Performance Horizontal Ostomy Belt

$145.00

Stoma Side Left Right

Flange Opening 2 1/4in 3 1/4in

Body Size XXS XS S M L XL XXL XXXL

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🏅 TRUSTED DESIGN EXPERTISE: 17+ YEARS IN THE OSTOMY INDUSTRY

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🏄 Horizontal wear: keeps your pouch off to the side and out of the way when you move
🛡️ Fully adjustable fit: about 6 inches of range that adapts as your body changes
🧵 Premium, reinforced construction: built for daily wear, not disposable use
💧 Breathable, quick dry fabric: works as an ostomy belt for swimming, surfing, and showering
🚚 Next day dispatch: free shipping on every U.S. order
📏 Men and women: XXS to XXXL, 8 sizes, left or right stoma

Built for a life that doesn't slow down. The HIRO Performance Horizontal ostomy belt holds your pouch sideways or diagonally away from your belly button, so it stays flat and secure through a workout, a round of golf, a long drive, or a day in the water. It works as a colostomy bag belt, an ileostomy support belt, or a urostomy support belt, and it acts as an ostomy bag holder under the clothes you already own, so you rarely need an ostomy bag cover, ostomy underwear, or special ostomy clothing.

This is the style I wear every day. I designed it after my own surgery because nothing on the market kept up with surfing, martial arts, and chasing my kids. Read my story, or see what customers say about wearing HIRO for work, sports, and everyday confidence.

Why Horizontal?

In my 18 years of living with an ostomy, I've discussed this with many doctors and surgeons and found there's no medical requirement to wear your belt in either direction. It comes down to your lifestyle and what feels best on your body. Horizontal keeps the pouch away from your waistline, so bending over doesn't compress it, you can tuck in a shirt or wear a regular belt, and side or stomach sleeping stays comfortable. Prefer the drain at the bottom? See the HIRO Performance Vertical Ostomy Belt, or compare both in our horizontal vs vertical ostomy belt guide. Want a lighter, seamless slip on band with no closures for days when you don't need adjustment? See the HIRO Ultralight Sleek Fit Horizontal.

	Vertical	Horizontal (this belt)
Best for	Lower mobility, casual or evening wear	Active lifestyles: sports, surfing, golf, driving
Draining	Opening sits at the bottom for easy draining	Pouch sits off to one side, out of the way
Bending over	Can compress the pouch against your waist	Pouch moves toward the hip, so bending doesn't compress it
Sleeping	Stomach sleeping is harder	Side and stomach sleeping stay comfortable
Clothing	Trickier to tuck in shirts or wear a belt over	Easier to tuck in and wear normally under a belt

Common Questions

Can I swim in it? Yes. The fabric is quick drying and breathable, and I wear mine surfing in Hawaii. Read about my day at the water park with my kids and the UOAA's tips on swimming with an ostomy.

Can I wear it for sports? That's what it was built for. See my article on playing tennis with an ostomy and Colostomy UK's exercise guide. For contact sports or seat belt pressure, read why a stoma guard protects your stoma during active days.

Does it work for a colostomy, ileostomy, or urostomy? Yes, all three. Choose the wear side your stoma is on, Left or Right, when you order.

Is it a parastomal hernia belt? It offers supportive, adjustable compression, but it isn't a hernia treatment. If you have or suspect a hernia, talk with your surgeon first; the UOAA explains the signs in Do I Have a Parastomal Hernia? Learn more in How an Ostomy Hernia Belt May Support Parastomal Hernia Care.

Will insurance, FSA, or HSA cover it? Often, yes. See the details in our ostomy belt FAQ, or contact me for an itemized receipt.

What if it doesn't fit? See our returns policy, or call me before you order and I'll help you pick the right size.

A Note From Richard: Not Medical Advice, Just Personal Insight

This is my own perspective, not clinical guidance. I've lived with Crohn's disease since 1998 and an ostomy since 2008, spoken at UOAA support groups and ostomy educational conferences, and listened to thousands of customers about what actually works day to day. I'm also a martial arts instructor, a surfer, and a parent keeping up with my kids. Horizontal is my personal favorite, but the best ostomy belt is the one that fits your life. Please talk with your ostomy nurse or surgeon about your own situation; the WOCN Society can help you find a WOC nurse.

Are you a nurse? Click here for our quick nurse resource guide with sizing help, a printable ostomy belt fitting and order guide, patient welcome coupons, and free demo belts.

Ostomy Belt Size Guide

Measure your waist just above and just below your stoma, then take the average. Each size has about 6 inches of adjustability, so if you land on the border between two sizes, size up. Full instructions are in the HIRO Ostomy Belt Sizing Guide.