The Alpha Medical Stoma / Ostomy Abdominal Binder with Stoma Opening is made in the USA with first quality materials. The stoma cut out is 2 3/8 in diameter. The binder is designed so that it can be put on and taken off without the need for removing the colostomy bag. There is a removable plastic panel around the stoma to provide protection, support, and to help maintain the shape of the binder at the stoma. The abdominal support is ideal for hernias, soothing abdominal compression, skin irritation, sanitation, and more. Size Guide: Measure around abdomen Small: 27" - 35" Medium: 36" - 45" Large: 46" - 59" X-Large: 60" - 72