This 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 can cause unimaginable pain and even death, so it's better to fix it with a belt, etc., until surgery. I remember feeling relieved when I used this product, as it eliminated the risk of torsion and relieved the pain. Gently push the protruding part back in the direction that doesn't hurt, and then put on the belt. Also, two attached belts are included, so pass them from the front through the crotch and secure them to the hip side. The fixation is 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, men, women, auxiliary supporter, inguinal hernia Please handle under the guidance of a doctor.