I'm a 5'5" male, 135 pounds and small framed (okay, I hear you, knock off the laughing). It's because I'm small framed and 5'5" I figured I'd try the X-lrg size on this item. ALMOST everything fits fine, with the exception of the "torso". Not a fault with the item, as it was my choice. A return won't be needed, as I still really like this 'union suit'. After a washing I simply tug on the spots, and it works. Once I get into a warm bed, with my wife and our two dogs, and our 3 of 5 cats, ... I turn on my late night radio, and I'm snuggled in for the night. I DID order this same item in an adult small, the fit is better with some room to grow as for the length. So my review on this item is a positive, ... the YOUTH should work for anyone, male or female, ... 130 pounds and under, small frame and no greater than 5'3" in height, otherwise, the torso may be a problem, ... but just stretch the 'suit', it will work.but depends if one is wearing any undergarment under it. This IS a Union Suit after all, and not a pair of pajamas. The material is soft and warm, will stretch. Good retention of the all wrist and ankle cuffs Has been washed at least 4 times, ... no problems with buttons or fraying, torn or separating seams. The suit is quite warm when lounging in temps of the low 60's. The SINGLE BUTTON vertical butt flap works provided attention is paid to ones anatomy during it's use. For we males. the use of the front buttons is obvious. Excellent Union Suit for the price, mine fits semi-snug. If one wants a roomy fit, ... get the next size up. This is an excellent light to medium weight union suit,