Abstract: An adapter for securing a skin barrier for ostomy collection allows placement of the skin barrier in a variety of positions to avoid interfering with surgical incisions, bandages and/or drains. An oblong or elliptical shaped skin barrier may be rotated or oriented to an alternate position and attached to a belt using the adapter. The adapter has a linkage for receiving the belt, typically a set of pins or protrusions, and another linkage for engaging the skin barrier through the same apertures intended to receive the belt at an alternate position. The adapter allows the oblong skin barrier to be rotated to a position that avoids incisions or surgical structures without cutting an adhesive region and compromising adhesion of the skin barrier. The adapter provides full retention capability of the adhesive and the support belt are for maintaining a fluidic barrier to the ostomy collection bag or pouch.