I've been using this belt for 2 weeks now and so far so good. There are two great things I love about the belt: 1. "Infinitely" adjustable - no dedicated pin holes. Simply place the pen where it is most convenient. 2. stretch factor. Sitting and bending over doesn't put undue pressure on the abdomen. I find it best to use this belt in combination with clothes with "elastic or elastic waistband". That's real consolation! The belt looks good, made of quality materials. The only concern I might have is that with prolonged use, the webbing of the strap will wear down from the teeth reseating in a certain area. But why the heck did I buy some extra straps for such a cheap price!