The item will be shipped with a belt. This product is new. Size: XL 106cm - 120cm Suitable for both men and women. Care instructions: Machine wash (remove the pad) Please wear over your underwear. I also suffered from an inguinal hernia, and it was painful just to stand, so I worked while holding it with my hand. The scary thing about this disease is the "torsion" of the intestines. It causes unimaginable pain and carries a risk of death, so it's better to secure it with a belt, etc., until surgery. Using this product, I remember feeling relieved as it eliminated the risk of torsion and freed me from the pain. Gently push the protruding part back in the direction that doesn't hurt, and then put on the belt. Two additional belts are included, so pass them from the front through the crotch and secure them to the hip side. The fixation is with Velcro, so it's very easy to do. There is also a simple instruction manual, so please use it. Hernia belt, inguinal hernia, support belt, truss, single, double, inguinal, hernia, belt, truss supporter, male, female, auxiliary supporter, inguinal hernia Please handle under the guidance of a doctor.