I haven't tried the item on yet- but it does run small I normally wear a size small- medium, and medium in belts but this large is rather small! Maybe 2-3 inches too small in my waist .. Im 52 140 ish but I do have a wider waist than most small girls. Im excited to just squeeze this thing on.. plus Im still trimming down and it will fit soon enough. Either way- I had to mention the quality is SUPER thick and heavy. Its the best quality Ive ever had for such an item. I got the 3 hook one.