This item definitely runs small. My son is 45 pounds and 48 inches tall and the size chart (shown in the product photos) says he should fit 6/6x. When he tried it on, he stuck his legs in, and then we couldn't put it on his shoulders. But when we got the size 7/8 it fits him perfectly. He has autism with sensory issues, and he thinks it's convenient, and now he's going to swim in a 'cold' pool. It's great when you find the right size!
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