Having a stoma can be a difficult adjustment for the child or young person and his or her family. Children’s stoma nurses provide support and education to the family at this time to help them come to terms with the changes this requires. This article discusses the different types of stoma, why a stoma might be needed, how the children’s stoma nurse can help prepare the child or young person and his or her family for having a stoma, the practical aspects of stoma care and possible complications that might be experienced and how to manage them.