Hello Robert, we'd be happy to help. Please give us a call at 855-422-4556 or email us at sales@llmedico.com. Thanks!

I went with for the first time 2 sizes larger because of seams that start separating either top of bottom. I used pull on. I was offered a great deal for snap on but 3x large instead of x-large and found they fit wonderfully. My waist is 42 and the 3x was 32 to 60 inches and the my legs 22 and those were 20 to 30 inches. I wore them for the first time last night 11/08/16 and I too wear heavy diapers and the pp fit wonderfully. In fact I had no pinching or discomfort like the xlarge sizes. I would highly recommend snap on and a larger size as long as you fit within the bounds of those sizes. If I had a 32 inch waist I would not recommend this size; after all you want some snugness and I will NEVER go back to pull on and I will always go to a larger size for room, comfort, and protection. I also found out wearing them into bedtime that the cloth dampness is much less and therefore more comfortable as well. I hope this answers your question. I also will include LLMedico pants are the very best pant I have ever worn. I highly recommend them to everyone! The shipping was wonderful too. My order was shipped on last friday and I received the package on monday to my surprise. Ms. Heather was great with me and we discussed the sizing issues and she knows what she is talking about. Listen and ask the right questions and you too will enjoy what is bothersome issue in life. I have had 7 massive heart attacks going back to 1986 and 18x on the operating table. I feel no shame for being this way. If the medical folks don't show shame the neither do I. I have been changed and pants and diaper taken off while I was still awake and I suspect they have seen others in my situation. There is NO shame for what we cannot control. Sincerely, Bob