Abstract: An ostomy pouch cover which is adapted to fit over an ostomy appliance. The top opening of the cover has a cover flap which opens wide to allow the cover to be slipped on or off the ostomy appliance. There is an adjustable stoma opening with overlapping tabs that easily adjust and fasten around the flange of an ostomy appliance. A wide opening at the bottom of the pouch cover can be unfastened to allow drainage of the pouch contents. There is a fastener at the bottom of the cover and a mating fastener near the top so that when the cover and the ostomy appliance inside of it are folded upward the cover can be secured in the folded position, holding the appliance up and out of the way.