By Nadia Maffucci Di Rienzo, Ostomy Canada Ambassador
Confidence with an ostomy is not something that happens all at once. It is something that grows over time, shaped by experience, self acceptance, and the willingness to try even when it feels uncomfortable. For many of us, certain seasons bring unique challenges. Summer is one of them.
Warmer weather often means more skin, more social events, and more situations that can
trigger self consciousness. Whether it is swimming, wearing lighter clothing, or simply being out of routine, it can feel like your ostomy is suddenly more visible. The truth is, confidence is not about never feeling those worries. It is about learning how to move forward despite them.

Feeling Comfortable in Your Body During Summer
Swimming is often one of the biggest concerns, especially for youth or anyone newer to life with an ostomy. The idea of being in a swimsuit, surrounded by others, can feel overwhelming. I understand that feeling. There is a vulnerability that comes with showing your body after surgery, particularly when it looks different than before.
What helped me was starting small. Choosing environments where I felt safe, packing extra supplies for peace of mind, and wearing swimwear that made me feel secure all made a difference. There are so many options now, from high waisted bottoms to supportive wraps and tailored swimwear designed for ostomates.
Over time, I realized something important. Most people are not paying as much attention as we think they are. And even if they notice, it does not change our right to enjoy the moment. You deserve to swim, to laugh, and to participate fully. Your ostomy does not take that away.
The same applies to summer clothing. It is okay to choose outfits that make you feel comfortable, whether that means covering your pouch or not. Confidence does not come from forcing yourself into situations you are not ready for. It comes from making choices that align with how you feel, while gently expanding your comfort zone.
Encouraging Youth to Take Ownership
As someone who lived with IBD for many years before getting my ostomy at 40, I can relate to
what it feels like to navigate chronic illness during the teenage years. Even without an ostomy at that stage, there can be a tendency to avoid fully engaging in care, whether that is out of fear, frustration, or simply wanting to feel like everyone else.
That experience has shaped how I think about young people who do have an ostomy. Learning to take ownership of care is not always easy, but it is incredibly empowering over time.
It does not have to happen all at once. It can start with small steps such as helping to gather supplies, participating in certain parts of the process, asking questions, and gradually building confidence in managing independently.
For parents and caregivers, patience and encouragement are key. Creating a space where questions are welcomed and mistakes are part of the learning process helps build both skill and confidence. Independence grows when young people feel supported rather than pressured.
Life Has No Limits
Living with an ostomy can feel like a limitation at first. There is a learning curve, both physically and emotionally. But over time, it can become clear that many of those perceived limits are not as fixed as they once seemed.
After decades of living with IBD, there were things I had quietly accepted I might never fully enjoy or do without worry. The reality is that my ostomy has, in many ways, given me a sense of freedom I did not have before. It has allowed me to participate in life more fully, with less unpredictability and more confidence in my body.
That does not mean every day is easy. There are still challenges, and there are still moments of doubt. But there is also a renewed sense of possibility.
Confidence is built through action. It grows when you say yes to trying something new, when you show up even with uncertainty, and when you take time to acknowledge how far you have already come.
A Final Reflection
Whether you are a young person learning to care for your ostomy or an adult stepping into new experiences, your journey is valid. There is no single way to feel confident, and there is no timeline you need to follow.
Start where you are. Take small steps. Celebrate progress. And remind yourself often that life is still yours to experience fully.
You are capable of more than you think.

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Nadia Maffucci Di Rienzo is a source of inspiration, advocating for those with invisible illnesses and bringing hope to many. Despite battling Ulcerative Colitis since 1997 and, more recently, colorectal cancer, Nadia’s resilience shines. After her total proctocolectomy in January 2023, she has bravely embraced life with a permanent ileostomy. Nadia shares her journey on her blog, Gutsy Girl Diaries, and Instagram, chronicling her experiences with IBD and cancer and her new life with an ostomy.
As the inaugural Ostomy Canada Ambassador, Nadia aims to destigmatize invisible illnesses and disabilities. Her story is not just about survival but thriving, proving life with chronic conditions can be purposeful and positive. Through her empowering spirit and uplifting message, Nadia inspires others to embrace life fully, despite challenges.
Visit Nadia’s website Gutsy Girl Diaries, or follow her on social media!
Disclaimer: The information shared by Ostomy Canada Society is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Every person’s ostomy experience is unique. Please consult your health care provider with any questions about your condition, care, or treatment plan.