It works very well for me, better than I thought it would. If I manipulate my hernia back mostly inside me, then put the brace on, it keeps it pretty much in place even when I’m a bit active. I use the foam inserts to apply pressure, and tighten the groin strap on the side where the inguinal hernia is. My only suggestion would be that there needs to be a retainer (Velcro?) for each of the plastic foam pressure devices. At the moment, if I undo things to urinate, they can easily fall out onto the ground (or into the loo!), which is annoying. It’s quite manageable, if I’m thinking about it, but the less fuss the better. But it is truly excellent for purpose, for me at least.