I just let it all hang out lol. In the beginning I used tape, but found that to be irritating to my skin, so I use nothing, and comfortable with that. I don't use a pad under or over the stoma finding that may harbor bacteria. My CCC used tubular elastic net bandage, which you cut to size, slip over your head to your stomach to hold the tube whatever position, and that was comfortable and didn't feel restrictive to me, so I used that for a while. They come in different sizes.