A compliant, e.g., foam, access device for positioning within a tissue tract for accessing an underlying body cavity includes a proximal portion, a distal portion, a body portion interconnecting the proximal and distal portions, and at least one port extending therethrough. The proximal portion includes a tissue facing surface and defines a first radial dimension. The distal portion extends longitudinally along an axial length and defines a second radial dimension that is substantially uniform along the axial length and smaller than the first radial dimension of the proximal portion. An adhesive is disposed on the tissue facing surface of the proximal portion for releasably securing and sealing the proximal portion to a tissue surface.
