An ostomy pouch holding system that includes: a first hook； a second hook； a pouch holder, where the pouch holder includes a top opening adapted to receive an ostomy pouch； a bottom opening on the pouch holder； and loop connectors at the top edge, where the loop connectors are adapted to receive the first hook and the second hook. The first hook includes a first button and the second hook includes a second button. The loop connectors preferably include a first loop connector on a first side of the top edge and a second loop connector on a second side of the top edge. The pouch holder is preferably made of spandex. The first hook and second hook are adapted for placement on a waist of a trouser.
