I bought the MD ..i figured it was medium and I weigh 142# and am about 5'5"...and it fit great- goes all the way to my bra and getting it on is a bit of a struggle, but if you don't scrunch it up like putting on hose, just slowly pull up sections of it at a time it goes on just a bit easier. once on it is very comfortable - it does not make those bulges disappear, but it controls them and makes you look firmer. I am pleased with my purchase.

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SPANXSPANXsculpt Seamless Power High-Waisted Brief - Lightweight All-Day Comfort - Core Control Shapewear - High-Waisted Underwear

SPANXSPANXsculpt Seamless Power High-Waisted Brief - Lightweight All-Day Comfort - Core Control Shapewear - High-Waisted Underwear

Q: Does this have hooks to be able to go to the bathroom?

No, there is no bathroom access.

Q: The size chart on amazon does not correspond with this products size chart. if i am a b accd. to size chart, what size do i order for this product?

Please refer to our size chart.https://www.amazon.com/gp/product/ajax-handlers/apparel-sizing-chart.html/ref=dp_sizechart?ie=UTF8&asin=B013EKLKPG&isUDP=1

Q: I weight 220 and wear size 16 in pants. Would a medium work or is large better?

Hey Amanda, I would definitely go with the larger. I'm about 175 and wear a 10 size jeans and I bought a large. The large fits we comfortably, I couldn't imagine trying to squeeze into a medium. Remember you want to be comfortable in it and not struggle to get it on and off. In my opinion, go with the large. I would actually look into an XL if I were you. If it doesn't fit you can always exchange.