Pyoderma Gangrenosum is a difficult condition to treat for any wound care provider. When Pyoderma occurs around a stoma, the inability to apply an appliance complicates healing and increases patient discomfort. When the appliance fails as a result of excessive drainage, cost of multiple ostomy appliance applications becomes an issue as Medicare limits the number of appliances to the patient per month. The unique properties of Transforming Powder dressing has application to protect the peristomal wound and allow placement of a stomal appliance while managing fluid and exudate. The powder dressing reduces pain and can be combined with active treatments to be delivered into the wound to promote and manage healing. This presentation demonstrates the utility and uniqueness of a new technology of wound dressing material and how it is used to treat the wound, manage exudate and increase the appliance wear time. Increasing appliance wear time has been instrumental helping the patient’s care to become compliant with Medicare monthly limitations regarding stomal supplies. This represents a substantial savings for the patient, eliminating out of pocket costs.