An
adhesive wafer for attaching an ostomy appliance to a peristomal
skin surface surrounding a
stoma has an integrally molded
adhesive layer made of a
skin barrier material, a distal surface covered by a flexible backing layer, and a proximal bodyside surface contoured so the
adhesive layer has a thin
peripheral portion and thick central portion surrounding a
stoma-receiving aperture. A set of at least two wafers is provided in one embodiment, wherein individual wafers have differing central portion surface
topography, and different
stoma receiving apertures. To produce a closely fitting
wafer for a given stoma, a method of producing wafers includes providing a representation of the
topography of the peristomal surface and the stoma, and, using the representation, manufacturing a mold having a surface configuration substantially matching the
topography of the peristomal surface and stoma.