This is my daily holster, and use it for a Ruger LCR that sits under my left arm or ITWB on the right hip. The small is a little snug having a 32" waist, and will get a medium if I replace it. The large Velcro patch leaves plenty of room for adjustment. For me when wearing it around the rib cage, I'm only using about 1.5" of about 4" of Velcro. So for me the Medium would have been a better fit. After 9-10 months of just about daily wear, I'm use to it. After the holster breaks in to your gun, it holds it very securely. Most of the time I forget it's even there. I'll typically wear from 10-14 hours a day. Sure, after 14 hours I'm ready to take it off but I'm ready for the boots to go as well.