When I broke my shoulder, I bought this sling as a back-up after a couple of weeks, so I could wash the one they gave me in the emergency room. The good: It looks nice, especially for the price, and it feels quite comfortable (i.e., it supports my arm well, and the well-designed shoulder pad also adds to the comfort. The bad: It falls apart! Yikes. As one of the other reviewers pointed out, it falls apart without notice, which makes the arm drop. But that's not the worst! The buckle itself came off too (the part that's on the top strap)! And fell to the floor. At one point, it rolled under the bed. Yikes! Considering that for the first two or three weeks after the accident,I could not bend low enough to pick stuff up off the floor, this is a terrible design flaw! Fortunately, I didn't get this sling until later, and then I wasn't wearing it too much because I wanted it to remain nice-looking for times when I needed a more "polished" look (oh, and because it was scratchy!), so I didn't suffer too much. But still... But after a few days of wearing it, the buckle fell off more and more quickly/frequently (plus I had to adjust the strap repeatedly while wearing it). At one point, I couldn't find it anymore (for several days), so I had to wear the old one for a formal business event. That's bad!!! In addition, you need two hands to put the buckle back on and reassemble the whole adjustable buckle assembly, and depending on the nature of the injury, this could be real problem. Not something I could have done easily during the early days after my injury. So a big shout-out to the manufacturer - please fix the design of the buckle so it won't come apart. Why not use a velcro strip to make the strap adjustable (like my other sling does). Advice for potential buyers - if you can pick things off the floor and reassemble the closure repeatedly (or have someone around who does it for you), this could be a good choice. After all, it's cheap, and looks good. If you can't, you may want to look elsewhere. About my "grade" - While this sling looks nice and is comfortable WHEN it works and when it is worn with a top that has long sleeves, the fact that its functionality is severely compromised by the repeatedly failing buckle that then also falls off altogether, I can't give it more than 2 stars.