The goal of colostomy control (of the sigmoid colostomy) is the attainment by the patient of security, normal activity, and freedom from the fear of fecal leakage. The sentinels which guard this security are psychologic adjustment, a well-constructed stoma, an efficient system of irrigation, a suitable interval between irrigations, and an adequate diet suited to the patient, which avoids diarrhea and produces constipation without impaction.