It will be shipped with a belt. This product is new. Size...XL 106cm〜120cm Usable by both men and women. Care instructions...Washing machine (remove the pads) Please use over your underwear. I also developed an inguinal hernia, and it was painful just to stand, so I worked while holding it with my hand. The scary thing about this disease is the "torsion" of the intestines. It can cause unimaginable pain and even death, so it's better to fix it with a belt, etc., until surgery. Using this product, I remember feeling relieved from the risk of torsion and the pain. Hold the protruding part firmly towards the painless side and wrap the belt around it. Then, two attached belts are included, so pass them from the front through the crotch and secure them to the hip side. The fixation is with Velcro, so it's very easy. There is also a simple instruction manual, so please use it. Hernia belt, inguinal hernia, support belt, truss, single, double, inguinal, hernia, belt, truss, supporter, male, female, auxiliary supporter, inguinal hernia Please handle under the guidance of a doctor.