Size - Fits Waist - Small 28-32 / Medium 33-36 / Large 37-40 / X-large 41-44 / 2X 45-48 / 3X 49-52 / 4X 53-58. Shipped with a pair of control pads and a pair of hot/cold therapy pads that may be alternated as desired. New hot/cold therapy pads included. For cold therapy, simply place the therapy pad in the freezer for 20-30 minutes, remove and insert into the inner built-in pocket and wear the garment for as long as desired. For hot therapy, place the pad in a bowl of water and place the bowl in the microwave oven for 30 seconds. The pad can also provide additional support in the area and may be worn simply as a support pad. You have the option of using the left side by itself or the right side or both.An inguinal hernia is a protrusion of abdominal contents through the inguinal canal. When a hernia occurs, the contents of the hernia create compression that leads to a feeling of heaviness, pressure, and pain. The Underworks Inguinal Cotton Comfort Support Brace can help by gently applying pressure to the area to keep the hernia in place and return the intestinal tissue back to its place. The strong tension bands on the brace provide the compression to reduce the swelling and provide the support.Sports Hernias are common and can have the athlete sidelined for a while. Sports hernias dont create a bulge but can cause incredible pain in the groin area. With the Underworks Inguinal Cotton Comfort Support Brace, you can manage this pain and inflammation. Cold therapy is a common method for pain relief and is especially effective when coping with a sports hernia. When the abdominal muscles tear, they will become inflamed, which creates a bloating feeling. Wear the brace with a chilled pad for relief.Heat therapy is often most beneficial when used for a good amount of time to relieve stiffness and tension. We recommend 15 to 20 minutes of heat therapy. Simply warm the Hot/Cold Therapy pads and insert them into the inner built-in pockets of the brace and wear the garment. Some patients are unable to schedule their surgery right away, usually because of a work commitment, planned vacation, or current medical situation. The Underworks Inguinal Cotton Comfort Support Brace can be a great bridge to surgery in these scenarios. Worn over your undergarment, the truss should be put on while lying flat, with the hernia fully reduced. Tighten by pulling the tension bands into position, the hernia contents will be kept inside the abdominal cavity.Hernia surgery has been associated with severe pain. Hot and cold therapy is an effective way to control this pain and swelling that follows. The Underworks Hot/Cold Therapy Brace will provide the needed relief from the pain and discomfort experienced after surgery. INGUINAL HERNIA SUPPORT FOR MEN AND WOMEN - Provides strong and gentle support for the groin area with adjustable straps that fasten with Velcro. The Built in pads are removable and washable. Made in the USA. Shipped with a pair of pads and a pair of hot/cold therapy pads. With pads that are removable and washable, you have the choice to support left inguinal hernia or right inguinal hernia or both STRETCH COTTON BODY IS COMFORTABLE AND NOT RESTRICTING: Pad placements provide support over wide area - Front straps and leg straps allow you to adjust the amount of pressure MADE IN THE USA - High quality construction and made with the finest materials for maximum durability and service to you.The Underworks Inguinal Hernia Support Brace is made to alleviate pain and discomfort of the inguinal hernias on both left and right sides. Wear your regular underwear over your brace.STRETCH COTTON BODY IS COMFORTABLE AND NOT RESTRICTING: Pad placements provide support over wide area - Front straps and leg straps allow you to adjust the amount of pressure MADE IN THE USA - High quality construction and made with the finest materials for maximum durability and service to you. Wear your regular underwear over your brace.