I choose to use a coloplast mio flex one piece closed end pouch which is disposable I feel much cleaner having a clean bag on every time It takes me all of 5 mins to change the bag I do not use a lot of products since their products can be used without skin barrier I simply wash area with warm water dry with hairdryer and attach new bag I never have skin problems I love to soak on a hot tub every day and thoroughly clean stoma area When I do go out I will use skin tac and barrier strips for added protection but I dont at home If i feel any irritation I use stoma powder but that is rare I was having a problem with pancaking and saw a great stoma nurse at Mayo in Jacksonville and she gave me helpful tips about placing a blue sticker over the air filter and making sure there is some air in the bag before you attach it and I have not had an incident since. This is now a way of life for me and I simplify the process and number of steps required to change my appliance When i tried using systems where I only changed the wafer every three days I got irritated and itched Everyone has to find what works for them but I wont let this consume my life I see no need to wash bags or over prepare the stoma area that is a waste of my time I just make this as simple a routine as I can