I'm a female that normally wears a 3X and was having difficulty purchasing a Hawaiian shirt cut for a female in that size, so I went with the men's shirt.

I've purchased men's size 4X t-shirts in the past.  They tend to run large for me in the shoulders (kind of expected) while providing a snugger fit through the hips and stomach.

This size 4X shirt appears to run true to size based on my experience with the t-shirts.

What you don't get a great visual of when looking at the picture is a band of parrots around each sleeve.  There is also a band of the same size parrots across the upper back in the same size.

I received a lot of great compliments when wearing it at a luau-themed fundraiser.  The colors are vibrant, the scene is gorgeous and the shirt has a nice sturdy feel to it.