The Esteem synergy ostomy system utilizes a new Adhesive Coupling Technology that connects the pouch to the skin barrier and eliminates the need for plastic rings that have to be snapped or locked together. Esteem synergy combines the benefits of one- and two-piece systems. A clear, flat, flexible plastic "Landing Zone" flange on the skin barrier is square and is slightly larger in size compared to the round adhesive ring on the pouch. This makes the application process easy - precise alignment is unnecessary. The pre-cut opening eliminates the need for cutting.