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before we begin conduct this application in a clean environment and prepare the necessary materials for custom cutting you will need transparent plastic films curved scissors marker pen base plate put a transparent plastic film on top of the stoma trace the outline of the stoma onto the transparent plastic films with a marker pen and cut it with the curved scissors once you have the exact measurement centralize it over the pre-cut hole and draw the shape onto the back of the base plate using a marker pen cut the base plate with the curved scissors on the line you have traced and smoothen out the edges with your finger before application the size of your stoma may change over time so keep an eye on it to ensure optimal adhesion