The Alpha Medical Suspensory Aid Support Pouch is available in three different pouch sizes and has an adjustable, Velcro waistband to fit guys of any waist size. You can cinch it up or let it out to adjust the amount of support you want. Sizes Small, Medium, Large or X-Large for the sturdy mesh support pouch. The smaller the pouch the tighter the fit. Lifts you up and forward. Long-lasting, top-notch construction.