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If you have a LILLEbaby carrier already, you can help determine the size tummy pad to purchase by placing your carrier around your waist like you would for a back carry and measure how much webbing is showing. Between 8-13", you would need a small, between 14-17" a size medium, and anything more than 18", a large would be recommended.
If you do not currently own a LILLEbaby, you could cut a string that is 27” long and put it around your waist where you’d wear a carrier. Measure the area that the string doesn’t cover If it is between 8 and 14 inches you would need a small, between 14 and 19” you would need a medium, more than 19” you would need a large.
The size small is almost the exact same size as the widest point on a LILLEbaby lumbar support. When in doubt, size down as a size small fits everybody!