Abstract: A surgical method and device for performing colostomy or like surgery in which a sterile, flexible plastic sleeve is slipped over the bowel or colostomy spur and lubricated. The sleeve covered spur is then pulled through the relatively small colostomy incision until the colostomy spur has protruded to the satisfaction of the surgeon. Then the sleeve is pulled completely out of the incision and off of the spur. The sleeve itself is notched at one end to facilitate clamping and tying by means of at least one suture fastened to the sleeve above the base of the notch.