Comfort Cushions™ target aching muscles to help relieve back pain and tension. Sleek, lightweight design provides all-day comfort. Adjustable cinch straps let you customize the fit and support. Breathable, latex-free materials won't irritate skin. Hand wash. For men and women. USA. Specify size: Measure waist at the navel. S/M(29"-39"), L/XL(39"-50"), 2X/3X (50"-60"). On the high-end of size range? We suggest ordering a size up.