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Look at the other reviews but I think you'd be fine in a Large. I'm 5'11" and about 195 with a 35" waist and I went with Large. However, I could have probably gotten by in a medium. There's a Velcro waist adjustment and for me I need those tightened and def. need to wear a belt so you should be good, even if you have to loosen the adjustment tabs a bit.