These pants are absolutely amazing the are a bit tight am a size 42-40 and are tight but the fit perfectly once you get used to them stoma disappear it tucks your belly in lol These garments are designed for support, so they fit skind of tight rather than like loose undergarments. It might take a little time to adjust, especially if you're new to wearing support wear. Once you get used to them, you'll likely appreciate the comfort and support they provide I am.a waist size 42 and it felt tight to start but now they are amazing it feels like I don't even have a stoma. Comfizz Stoma Support Shorts Level 1 xl-2xl In Black