I wore these under a dress to a gala. I am 5'9" and 140, and the medium fit good. I think I would have been a small under the sizing, but because this is designed to slim and hold you in, I wanted to error on the larger side instead of smaller so I wouldn't be uncomfortable. This also has a plastic band to help hold it up, which I didn't have a problem with it falling down. However, there is a large hole in the crotch of these, presumably so you don't have to completely undress to use the restroom. I didn't feel comfortable with this, and wore underwear underneath it, so I wasn't so exposed.
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