A support device for a colostomy pouch has an elongated body having two ends, comprising a closable main pocket having an outward-facing front and a rear, an opening in the rear of the pocket sized to accommodate a colostomy pouch, a strap attached to each end, a fastener at the end of one or both straps. In an embodiment, one or more accessories pockets are affixed on the bag body. The opening may also have an expansion slit at the side of the opening, having a closure, wherein when the closure is released the slit opens and causes a larger opening. The closure may be a button closure, a hook and loop closure or a snap fit closure. The device may have a lower opening in the bottom of the main pocket to permit egress of the pouch opening for emptying the pouch while wearing the device.