I will write a review for all those plus size ladies that have trouble finding scrubs that fit. What I mean in a fit, meaning length, fit around the waist, thick thighs, rump. I am large all over. I have somewhat of a curve in my waist, but that is a problem area for me in the lower middle. I have wide rump, thick thighs, short torso and am 5'6". I am losing weight and just getting into a size 24w jeans from Torrid and Lane Bryant. The size 4x was not too much of a difference from the 3x in my opinion. If you are in between a size, then I suggest getting the larger size, but I found that they do loosen up quite a bit during the day, so that may help in your decision. The size 3x in this Dickies Extreme Stretch did fit and had extra room in the rump compared to the Cherokee and others I have tried on, HOWEVER, the thighs were a tad snug, but not horrible (the Cherokees thighs fit snug too). These had a much better fit than the Cherokees due to the higher waist and roomier hip and rump area. The waist has stretch. If you need to do plenty of bending and lifting, this scrub would be a better option compared to the Cherokee because with the Cherokee, you would need to be sure to wear an undergarment because they will show your back side, especially if you have a high booty crack like some people do. Even in the Cherokee size 4x, it had the same issue. Low hipster type pants, NOT meant for larger, rounder in the middle people. The length in both the Dickies and Cherokee Core Stretch pants were very long. These just about covered my feet up. Tends to be with all the scrubs. I had to hem these up at least 3". I would have had to do the same with Cherokee. The tie in the front does help. It is not a stretch tie but the waist does have plenty stretch, the elastic is probably about a 1/2" stretch band (wish they would make these bands at lease 2" wide for plus size ladies and make them pull on). The bottom near the hem does not have the ties. The Dickies feels like a silkier fabric compared to Cherokee. I chose the Dickies extreme stretch contemporary over the Cherokee Core Stretch mainly because of the higher waist fit. They are a little more comfortable, cover the rump even when bending down. I needed the Khaki and the Black. Khaki in the Cherokee is a very light Khaki but not see through, and in the Dickies, they are a shade darker, but not brown, more of a medium colored Khaki. Hope this helped in answering all your questions for these pants. I know I like details when placing an order for clothing online. Looks like that is what is going to happen now with all the store closures. : - ( And I find buying scrubs online is cheaper and they have more options in colors and sizes for the larger person, than shopping in our local scrub stores.