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How to make an Ostomy Pouch Cover

How to make an Ostomy Pouch Cover

I was amazed to learn that here in the UK there are approximately 10 different sizes and shapes of ostomy pouches, therefore it is not so easy to buy the right size and shape of cover. Let me show you how easy it is to make your own ostomy bag cover pattern!!

ostomy bag cover pattern

I was recently asked to make some ostomy pouch covers for a fellow Mum in the local community – after a hard few months receiving treatment for cancer she is cancer free. Her lasting marks are scars from surgery and an ostomy pouch, the least I can do is make her some covers out of soft fabric. When I shared with her my prototype she immediately put it on and remarked about the difference with having soft fabric against her skin as opposed to the plastic of the bag.

free ostomy bag cover pattern

Today I am showing you how to make your own pattern for your drainable pouch.

Free bag pattern for ostomy bag cover

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    • Cotton fabric – fat quarter
    • 1/2 yard (1/2 meter) bias binding
    • Paper and pencils
    • Scissors

If you like video tutorials check out my you tube video How to make an ostomoy pouch cover.


Let’s start with making a pattern for your ostomy pouch. Grab two pencils and a piece of paper. Place the ostomy pouch onto your paper. Hold your two pencils together and draw around the pouch.

how to make an ostomy bag cover

So we need to add a circular opening, I have used a mug as a template. Do play with some scraps of fabric to check the circular opening size. My first ostomy pouch cover had too large an opening. Place the mug over the circular part of the ostomy pouch, pull the pouch put from below and draw the circular opening onto the paper template.

Ostomy bag covers make your own

Now you have a pattern cut out three pieces of fabric, set one aside for the front of the bag, the other two are for the back of the bag and create a flap opening, to allow easy access to the drain. For the second fabric piece cut out a circular hole and cut off approx 2 1/2″ from the base. For the third piece of fabric cut across at approximately  5″ from the bottom, thus you have two pieces of fabric with a two-inch overlap.

How to make an improvised colostomy bag

Overlock or zig-zag the straight edges of the flap, turn over to the wrong side and press a small seam approx 3/8″ (1cm), topstitch in place.

ostomy cover ups

Next let’s finish the circular inner edge with bias binding. Choose soft bias binding, fold in half encasing the raw edge. Topstitch to secure in place.

Now place the pattern pieces right sides together and pin the outer edge. The order of fabric shown below is the outer side of the bag right side facing, then the circular hole piece of fabric wrong side facing, followed by the last piece of short fabric, wrong side facing.

stoma bag cover

Overlocker all around the edge of the ostomy pouch cover, if you don’t have an overlocker stitch around then zigzag the raw edges. Alternatively, you can encase the raw edges in bias binding.

stoma covers

Turn the ostomy pouch bag right sides out.

ileostomy bag covers

I have made a variety – a ostomoy shower cover from shower curtain fabric – I am hoping this will making showering easier for my friend but it is yet to be tested out.

stoma cover shower

Please don’t be intimidated by this project, once you get started it is straight forward.

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Jean Becker

Wednesday 29th of September 2021

I imagine shower curtain fabric could be used as a pouch liner. In an effort to decrease clean up from any pouch leaks a liner may prove to be handy.


Friday 9th of July 2021

You will need to allow some extra room for when the pouch fills up and becomes fuller, just before opening to empty. Some open up more fully, so leaving the bottom a little long and closing with Velcro might be another option. But the Velcro opening should be on the outside (away) from the body

Marianne Johns

Tuesday 2nd of February 2021

Love this DIY's hard to tell, but does this pattern make that there's the small opening/pocket like to check the bag vs taking the whole cover off?


Tuesday 2nd of February 2021

The pattern has a small opening at the bottom to empty the bag, a slit opening on the back to take it on and off (a bit like an envelope cushion) and the circular opening. I hope this helps.

Margie Swanson

Wednesday 13th of January 2021

do not have an ostomy bag to trace, can you help with a pattern please.

Annette Deardurff

Sunday 13th of October 2019

What a great idea! I wish I would have thought of that when my dear momma was still alive. I know she would have loved them! And they are likely easy to wash, too!! Thanks for sharing!

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