Answer: Please refer to the the How to Measure For Nu-Hope Support Belt? on the product page to determine the size for your belt:- https://www.healthproductsforyou.com/p-nu-hope-6-inches-original-flat-panel-support-belt-cool-comfort-elastic-right-side-adult.html Yes, you can choose Option NH, No Hole (N/A with Prolapse Strap) ($0) if you want to buy without hole.
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