Let me start by saying these diaper covers are a game-changer for anyone dealing with incontinence. The first thing I noticed was how SILENT they are - no embarrassing crinkly sounds when you move around. After trying multiple brands, this is the only one that truly lives up to its 'silent wear' promise.
The breathability is another huge plus. Unlike traditional plastic covers that make you sweat, the cotton fabric keeps things surprisingly comfortable even during warm weather. I've worn them for full workdays without that awful sticky feeling.
Now about sizing - this is crucial! The XL fits like a medium-large. I'm a 36-inch waist and it's snug (but manageable). If you're 38 inches or above as mentioned in the review, definitely size up beyond XXL if available. The high-elasticity bands are great for containment but don't stretch as much as expected.
Leak protection has been reliable for moderate accidents. For heavier incontinence, I'd recommend using their liner system as suggested. After several washes, the waterproof coating is holding up well - just avoid high heat drying.
Comfort-wise, they feel soft against skin with no irritating seams. The design stays discreet under clothing too. While not perfect (mainly due to sizing issues), these are currently my top pick for daily use when discretion and comfort matter most.