Quick answer: In Japan, a permanent stoma generally qualifies for a physical disability certificate (internal disability — bowel or bladder function). The certificate unlocks subsidies for ostomy appliances through the municipal daily-living equipment programme, plus tax and fare reductions. Apply at your city or ward welfare office.
Japan has one of the most structured public support systems for ostomates. A permanent stoma is recognised as an internal physical disability; with the certificate, most ostomates receive monthly subsidies covering a large share of appliance costs, managed by each municipality.
Where to ask
The disability welfare desk of your city/ward office handles both the certificate application (with a designated doctor's report) and the equipment subsidy vouchers. Stoma-care nurses and patient associations can guide you through the process.
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