Ive used this appliance since I’ve had my Ileostomy 20 years now. It’s just the easiest and most concealable. It’s small, flat and easy to put on and empty. But adding to that after using this same piece for 20 years I can say the quality has gone down a bit. You can hear the plastic ruffle a little bit more now, and it just feels different. I know it’s not me because I have used this product on a weekly basis for 20 years and I can tell that it’s different. But overall still a good product and it’s the same one I’m using still to this day.