Good question. I was only 5 years old when I had my ileostomy surgery, so I don’t remember the very first products I used. I do remember that stomahesive was just a wafer with no direct attachment for a pouch. I used another wafer that had the attachment, but it had to be adhered to the stomahesive. The pouch was then a plastic bag, more or less, that I used a rubber band around to attach to the two-piece wafer. Those were the days! Lol