Back in the day, I collected stilettos, these days, it's back belts! I have MS and a 71 yr old damaged spinal cord. Combined with fitness training (warm water aquatics/resistance training) for core strength and muscle mass, great back belts are what kept me in my profession (clinical/legal nursing) and now protects my spinal column from further injury as well as an avoidance of risky spinal surgery. A back belt reminds the wearer that one must bend from the hips (not the back) when serious issues with the same are present. This belt not only provides for an excellent fit, but the mesh areas reduce the amount of sweating and works well under clothing. Immediate relief from spinal compression and helps me maintain good posture despite scoliosis. Belt is as pictured online. Be sure to measure exactly and order the appropriate size. Sizing is true to chart. Remember good prevention measures as once one loses a strong, healthy spine, it never ends well.