Wear this item in Southern California and 4/3 is perfect /2 which I recently returned). I'm 6'2 and 190 lbs, I exercise and am in good shape. The media suits me perfectly. Big-tall was overly muscular, medium-tall was slightly longer in the arms and crotch. The medium meets all requirements. The only downside to the wetsuit is the tightness around the neck. It's a little tight around the neck, I can still breathe, but it's still a little tight. However, in the water it doesn't affect me and I know that eventually my neck will stretch. Wait to buy this item if it costs around $190 instead of $270. All round great purchase
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