I took the advice in other reviews and ordered a size up and they fit my tall thin son perfectly. There's no internal elastic, so it needs a belt, but it's not going to be a ridiculous paper bag or anything. The length is just right. He also said they're like "secret sweatpants" because they're so comfortable. For reference, he's almost 5ft 7in tall and weighs 100lbs and we ordered a size 18 Slim.
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