Belted Undergarments are the tried and true choice of many who have experienced incontinence for years. One size "fits" all. Belted Undergarments (sometimes called Belted Shields) provide body coverage and protection for an average size individual. This product may not provide sufficient coverage for bowel incontinence or for a larger individual. Elastic belts are secured by buttons for pad application and soiled pad removal. If buttons are an issue due to finger function, you may want to consider Protective Underwear instead of this type of product.