Got this as a gift from a wonderful secret Santa. I lost all my hair due to chemo. The hat fits a tad bit big,a little loose towards the top of my head. That might be because I have no hair to fill the hat up. It does go over my ears to keep them warm so that is good. :) I'm 34 yrs old and my head is a little smaller than average but it's definitely not child sized! I love how cute it looks on me. The only thing I don't like is that since I have very few lashes left the angora hairs/fibers sometimes get in my eyes. If I had all my lashes I'm sure this wouldn't be a problem. I've gotten many compliments when I've worn it out. :) I'm happy with it. I havethe white one and it's true to what's shown on the picture.