Traveling with an Ostomy: Identification, Screening, and Self-Advocacy at Airports

Question:

I’ve recently learned that if you travel and have a colostomy or a hernia, it’s possible to be flagged by airport security and asked to step aside if you’re wearing an appliance under your clothing.

I saw this topic discussed on an American ostomy site and wondered:

Do we have anything similar in Canada, such as identification or documentation that can help avoid unnecessary confusion at airport security? If so, how can I obtain it?

Answer:

Yes, there are supports available in Canada for ostomates traveling by air.

This information comes from Anne Durkee, former Chair of Ostomy Canada, who participated in CATSA’s Screening Officers Training. Her involvement helped ensure airport screeners across Canada are trained to use empathy, discretion, and appropriate communication when screening people with disabilities, including those with ostomies. Over 8,000 officers across more than 90 Canadian airports received this updated training.

Key advice and considerations for travelers with ostomies:

1. Announce your ostomy
   • When approaching security, immediately inform the screening officer:
   • “I have an ostomy on my right/left side and wear a medical device.”
   • This can help avoid confusion and ensure a smoother experience.
2. Use Ostomy Canada’s Traveler’s Card
   • You can request this card from the Ostomy Canada National Office. It discreetly informs screeners of your medical device.
   • Download the Traveler’s Card here:
   • Ostomycanadaostomycanada.ca/wp-content/uploads/2022/03/Travellers-Card-2015.pdf
3. Additional travel tips
   • Wear comfortable clothing for easier movement and comfort.
   • Avoid belts or accessories that may set off metal detectors.
   • Carry your ostomy supplies in your carry-on, including a letter from your doctor confirming your medical condition and listing your prescriptions.
   • Use the restroom before boarding to empty your pouch.
   • Consider eating lightly the day before and during travel to reduce output.
   • Be aware that gas buildup is common at higher altitudes; monitor your pouch for expansion and empty as needed.
   • If asked to show or open your bag, request that screeners wear fresh gloves to protect your supplies from contamination.
4. Private screening
   • If additional inspection is required, you may ask to be taken to a private room. You are not required to lift your clothing in public.
5. Night before and day-of travel
   • Reduce gas-producing foods.
   • Empty your pouch before going through security and boarding.
6. Carrying medical scissors
   • Small medical scissors (under 4 inches) are generally permitted, but avoid carrying liquids in your supply bag.
7. Advocacy
   • Advocating for yourself is essential. Being clear and calm when speaking to screeners usually results in a respectful and efficient experience.
8. Optional Identification
   • The Sunflower Lanyard, recognized at some airports including Toronto Pearson, can indicate invisible disabilities such as an ostomy.
   • Learn more here:
   • TorontopearsonSunflower Lanyards

These steps can significantly reduce anxiety and streamline your airport experience.

Answered by

Andrea Manson (BSN, NSWOC, NCA, Retired Nurse and Ostomy Specialist)
Medical and Lifestyle Advisory Team Lead,
Ostomy Canada Society

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