['The cosmetic appearance of the abdominal scar following closure of loop ileostomy can result in puckering and tethering of the skin, together with a shallow depression. A technique to improve the cosmetic result which also facilitates an easier and more secure closure is described.', 'A measured elliptical incision, five times greater in length than the ileostomy diameter, is marked. The skin ellipse, subcutaneous fat and ileo- stomy are mobilized together. The skin is removed and the ileostomy is closed with a stapler. This technique is compared with conventional techniques with regard to operative stay, complications and cosmetic appearance over an 18-month period.', 'The median operating time has been 50\u2003min and post-operative stay 5\u2003days. There have been no major complications.'] Does ` Canoe closure ' of loop ileostomy give improved cosmesis compared with conventional closure?