The National Institute for Health and Care Excellence (NICE) has today recommended to update its Medical Technologies Guidance 36 (MTG36) to reflect changes in the technology from Peristeen^® to Peristeen^® Plus. Coloplast’s Peristeen^® Plus, a medical device for treating constipation and faecal incontinence, follows on from Peristeen^®, which was recommended in the original guidance published in 2018. Peristeen^® Plus is the only transanal irrigation system that the Medical Technologies Evaluation Programme at NICE has reviewed.