I'm 5'9 and 160lbs. I bought an XXL after reading reviews. I have a relatively small waist compared to my hips but this band is pretty tight. Just enough to be unflattering. As it is elastic I'm hoping it will stretch out a bit with wear. It it plenty long with flats hits just above the floor.. so I could wear it with low heels. The red color is lovely, and though I wish I had gotten a 3X for length with tall heels and a wider band, I am pretty happy.