How to contain the rising prescription cost of stoma care accessories is a pertinent concern for an NHS under pressure to reduce its spending deficit by £30 billion by 2020 ( NHS England, 2014 ). Many GPs are expressing concern about the prescription costs of stoma care, and have been asking stoma care nurses to monitor, manage and justify their product use. This article discusses the definition and purpose of accessory products, as well as how accessories are sourced and recommended, including influences on the patient and health professional, with reference to the role of the stoma care nurse. It covers a variety of methods, including the use of reviews, to ensure that patients use accessory products appropriately.