I am a 100ish lb hospice patient and I think I bought the xl - the arms were very very narrow and overall the coat was surprisingly tight. I like things boxy/loose so initially did not mind having to buy a bigger size (they only had L Xl left), but if these felt too small on me, I cannot imagine how badly a larger-bodied woman would have felt trying this on if it is too small for someone dying who the size of a 14 year old boy. I think this could be a really cool item with better proportions. And I really am thankful again that they allowed me to return this even though it is not in their policies. Thank you again Ashley for your wonderful wonderful customer service. You made the disappointment a lot less intense with your repeated kindness.