The Esteem synergy® ostomy system utilizes an innovative Adhesive Coupling Technology™ that connects the pouch to the skin barrier and eliminates the need for plastic rings that must be snapped or locked together. Instead of a plastic ring the Esteem synergy® pouches feature a flat, flexible adhesive foam ring that securely connects to a flexible, clear “landing zone” on the skin barrier. The result is a low-profile yet flexible two-piece system. 10 per box. Available in standard 10.3 inch or short 9.3 inch sizes in a transparent or opaque color.