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Lots of good advice on medical approval and ramp up time. I started walking longer and longer distances 3, 5, 7 miles every other day 6-7 weeks post surgery and I did have a full vertical incision. I use a two piece coloplast sensura mio bags, barrier ring and vitally important to me are Sure Seal Rings. But per your belt question, I felt I wanted support for the bag (not necessarily for a potential hernia), and I use athletic pre-wrap tape to keep it tight against my body for a workout (now running 8-10 mi 2x week) athletic pre wrap it helps me feel secure and I’ve used when wearing slimmer fitting clothing as well. Good luck and wish you the best!