I will try to summarize it as much as possible. Reviews that this belt stretches to 42 inches plus are not true. My waist is about 40-42 inches, does vary a bit and this belt only works on the largest setting. This belt is less than 40 inches adjustable, I can actually say that. I wouldn't recommend more. This belt is good when you are sitting, working or standing or walking. Any maneuvering, tilting, tipping, lifting objects, any contraction of the waist and abdominal muscles and this harnessβ¦