Belt instructions show reverse use of belt as with most belts. It looks like a women's belt. D-rings are difficult to adjust. The elasticity is perfect. Size information available. I've tried "flipping" the working sides of the belt, the belt buckle is now on the correct side, but the D-ring buckle is still almost impossible to tighten properly. I went to the website and ALL the instructions except the sizes are inadequate. I'm sure there is a way to tighten the belt easily, but I'm very right-handed.