An ostomy pouch apparatus including a first and second sheets of flexible sheet material having perimeter edge portions and respective broad surface portions, the first and second sheets joined at the perimeter edge portions to form a pouch having an interior portion between the first and second sheets. The apparatus includes a waste admitting opening on the broad surface portion of the first sheet for admitting and subsequently removing a waste holding bag disposed within the interior portion of the pouch, and a coupling disposed about the waste admitting opening for connecting to a flange secured to a waste releasing opening on a patient. At least one of the broad surface portions of the pouch includes a closable opening for admitting a waste holding bag, and that reduces the risk of spillage of the contents of the waste holding bag as it is removed from the pouch.
