Size Large/X-Large for 38-to-50-inch waist. Comfortable fabric with breathable and cotton-like material. SkinGuard technology helps prevent skin irritation by shielding from irritants in urine. Super absorbent core turns liquid in to gel and absorbs 25x its weight, providing protection against heavy bladder leaks and neutralizes odors. Stretch waistband for a secure fit and discretion with tailored leg elastics to help prevent bladder leaks. Soft liner is gentle on skin.