Small/Medium fits a womens 31.5 inch waste with 43 inch hips. Fits snug could wear the bigger size. But the snug fit feels the best in the sense of support. Easy to use and cold-hot back easily removed to make cold or hot and to put back into the pocket provided on the belt. Works without the pack as well and offers great support. More comfortable to me when having to stand or walk. Only being 5'3 inches tall. The wrap still sits perfect on my lower back to offer the support I need.
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