I ordered 38 and it seemed too small for my waist and I was ready to return it. Then I actually tried it on and it fit reasonably well. I would rate this a 5 if the fit was at the center strap hole.
Pros
The Trafalgar Filippo 35mm Reversible Italian Pebbled Leather Belt was designed with comfort in mind, with a smooth, soft leather lining and a snug fit that won't dig into your waist or hips.
Cons
As with most leather goods, this belt may require special care to keep it clean and in good condition. It can't just be thrown in the washing machine and may require special cleaning products or services to keep it looking good.