My waist (the smallest point I can wear a belt) is 31 inches, which is a small size above and a medium size is below, so I ordered both to compare. The small size is approximately 38 inches in total length (excluding the buckle) and the medium size is 43 inches long. The small belt definitely suits my small waist; I would use a hole in the middle of the area. However, it would be too small to fit lower on my hips where I sometimes wear a belt (my hips go up to 41 inches). The middle belt is too big for my 31 inch waist (pictured) - I have to cut another hole. However, I will leave this one to wear lower on my hips. So my sizing advice is this: consider where you wear your belt and if you are at the ends of the measurement ranges, size up for versatility! I'm thinking of shortening the entire belt by removing the buckle.
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