Hi there - I have a colostomy for 11 years and am a male with hair (I wish it would stay on the top of my head- but I digress). The hair around the stoma isn't a problem, once every week or so I use a razor and shave the hair around the stoma (thank goodness for safety razors, right?) and that works. The appliances are so good nowadays , it there is some hair, it still sticks well. But by shaving, the appliances stick better. So hair is not a problem.