This item is exactly as pictured. I got a large and I'm about 187lb 5'4 it fits great. I really like the air mesh straps they make it feel like it's a personal fit to you. I have a degenerated disc in my spine and have always been told I have slight scoliosis. I prefer this brace to my original one because it's bigger and hasn't bunched up my clothes underneath so it makes me feel itchy. It also doesn't make me feel less feminine like I'm wearing my dad's back brace. So far so good with this, I hope it stands up as well to washes.
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