I don't know who the customers who rated it "fits true to size" because as other reviews have stated, it is definitely NOT true to size. If your waist is 42, order 44-46 or even 46-48. It comes with instructions on how to cut it down to a smaller size, so I'll definitely make more than you think you'll need and trim it down if needed. . I ordered a size larger than I felt I needed based on the reviews on here that mentioned it and I still can't get it to fit with the first hole.