The TRUFORM 243 heavy duty suspensory is an ideal athletic support for someone looking for more than just an average support. The 243 suspensory has a 1.75" elastic web waistband with claw buckle fastening. The flannel lined mesh pouch has 0.75" elastic perineal straps with claw buckle fastening. Sized according to pouch Medium is the size most often selected. Made in the U.S.A