A one-piece ostomy appliance adapted to be removably attached to a patient for receiving discharge from a stoma of the patient includes a pouch that defines a cavity. A first opening is defined by the pouch for receiving a stoma and communicating discharge from the stoma into the cavity. The ostomy appliance also includes a face plate having a first side secured to the pouch and a second opposing side that includes an adhesive for securing the pouch to a patient. A second opening is defined by the face plate and is generally aligned with the first opening. Further, the ostomy appliance includes one or more tabs for coupling a belt thereto, wherein the one or more tabs are coupled directly to the face plate.