Maybe my skin is tougher than most. I usually wear for extended periods of time when in public, mainly because of my detesting public changes. Sometimes I end up with a large BM ( I use a bulk producing fiber supplement to keep my BM's solid ) for several hours until I can get home and have a proper change and shower. I never can get clean enough ( ocd? ) during a public change. With the Metamucil I take ( 4 large doses seem to work best at keeping things solid ) I have increased frequency and much larger volume so any public excursion brings with it one or two large BM's. I use Nullo, liberal amounts of Desitin ointment (zinc oxide ) as barrier protection and heavy gauge plastic pants. When I know I'm going to be out for more than a few hours I run a pinwheel over the plastic shell of my Confi-dry 24/7 disposable and add a pull-up cloth diaper for extra capacity. It also adds security if stool migrates outside my disposable though it's rare. So sometimes I end up in a wet, soiled diaper for hours. I know most try and change asap but I just can't get comfortable with a public change. I do air-out my skin at every opportunity and for some reason I rarely have had rashes. Sometimes I do get a bit itchy on my hips after extended wear which is understandable and neccessitates a dry-out session. Once, years ago ( I've been bowel IC for over 20 years ), I got a rash on my groin that simply would not heal. In fact, it just seemed to get worse with each passing day. I was miserable and uncomfortable. I had tried every remedy I could find with no results. It got so bad that I finally went to the doctors. He said, get this, it was a yeast infection. He prescribed Nystatin/Tramcinolone Acetonide ointment and it cleared up in a matter of days. To think I suffered for weeks with open sores on my groin when all I needed was an office visit. I think most think I'm nuts to stay in a wet, soiled diaper for so long but I am actually used to it. As long as I can avoid rashes I really have no problem with it. With the use of Nullo and plastic pants few if anyone can notice. Yes, I am wearing quite a lot of diaper but I'm an expert at remaining stealth. I've had very few comments over the years and most were extremely respectful. Bottom line - I think some of us just have tougher skin. For those with more sensitive skin I suggest liberal amounts of a zinc oxide based barrier ointment along with frequently airing out your skin. Since I shower after every BM change I am always very clean (at least I start out that way ). And most importantly, don't hesitate going to the doctors for a rash that won't heal.