Protection Plus Super Protective Underwear by Medline are disposable and feature the \"pull up\" design that gives patients the comfort and feel of underwear. Anti-leak cuffs provide superior containment. The super absorbent core helps keep skin dry and controls odor. The breathable outer cover adds to the comfort and provides better skin care. Sizes: Measure around the hips or waist, whichever is larger, and select the size accordingly. Small, Waists 20\"-28\", 88 count per case. Medium, Waists 28\"-40\" , 80 count per case. Large, Waists 40\"-56\", 72 count per case. X-Large, Waists 48\"-68\", 56 count per case.