BrightCare believes that not all adult diapers are made the same. You don't need to settle for bunchy, loud, uncomfortable and leaky undergarments. With years of research, laboratory testing, and advances in the latest materials for absorbency and breathe-ability, we are proud to ensure that no one has to compromise when it comes to an incontinence solution! Our breathable adult diapers with tabs are some of the highest quality and most comfortable diapers in the industry. Our discreet breathable adult diapers ensure you stay dry and comfortable all day or night. BrightCare Direct's adult diapers for women and men unisex incontinence underwear come in different sizes to make sure you are comfortable and protected Select size based on sizing below: Medium - Waist Size 32'' - 44'' (16 COUNT) Medium Plus - Waist Size 40'' - 48'' (20 COUNT) Large - Waist Size 45'' - 58'' (18 COUNT) X Large - Waist Size 58'' - 68'' (15 COUNT)