Ready Back by Mobility Braces Lumbar Lower Back Support Brace – 2XL 44-48″ Waist. 1 single piece lumbar-sacral orthosis brace with attached closure system, 2 rigid lateral support panels that are removable, 2 rigid abdominal support panels that are removable & 1 cushioned, Breathable Back insert that is removable. Hand wash in warm water with mild soap – do not machine wash or dry. Lay flat or line dry. See pictures for details