Abstract: An ostomy support belt includes a main pocket for supporting the weight of a conventional pouch for holding bodily drainages. A secondary pocket is provided on the inside of the ostomy support belt in which a support plate is inserted for providing additional lateral support to the areas of the skin and abdomen surrounding the stoma and to increase adhesion where the pouch attaches to the skin surrounding the stoma and to prevent leakage, skin irritation, mounding, and herniation. A guard may be attached to the outside of the belt at a location corresponding to the stoma to prevent the stoma from damage due to external forces.