First got it I felt it too snug and put pressure on my nose area. I usually take a Medium Cap/Hat. This is small-to-medium, since this November after Thanksgiving seems it stretched some and feels fine keeping head and neck warm. Only main Gripe is Thread  is unraveling around seam. I might have got a defective sewn job on mine. Month Old, Past my Prime Amazon Return No Hassle Policy - Return Window expired on November 18, 2012. :(