English edition of a Japanese guide by Hiroshi Yagi. Japanese original: first published May 12, 2021; updated October 4, 2026. Read the Japanese original (Japanese).
Smaller sizes from each manufacturer
Availability in size S and below varies by manufacturer and product range. This article compares smaller sizes from several manufacturers. Sales channels and packaging can change, so check the current specifications on the official product page before buying.
| Manufacturer | Waist size |
| LiveDo Corporation | 45–60 cm |
| Kao | 45–75 cm |
| Unicharm | 50–70 cm |
| Kami Shoji | 52–75 cm |
How to measure waist size

When choosing a size of pull-on adult diaper, use the waist measuring point and size range specified by the manufacturer or product package.
Products by manufacturer
Product names below are romanizations or descriptive English renderings of Japanese names. They identify products for the Japanese market and are not presented as official international product names.
LiveDo Corporation · Refré
Refré Haku Pants Junior, SS

Japanese packaging: Junior SS; waist 45–60 cm; approximate 4-void reference.
| Size | Waist size | Approximate void-count reference |
| SS | 45–60 cm | Approx. 4 voids |
LiveDo Corporation describes this as an intermediate size between baby and adult products, intended for people with smaller bodies.
Source: LiveDo Corporation — official website Japanese
Kao · Relief
Relief Easy Up-and-Down Thin Pull-on Adult Diapers, 3-void Reference, SS–S

Japanese packaging: SS–S; waist 45–75 cm; approximate 3-void reference.
| Size | Waist size | Approximate void-count reference |
| SS–S | 45–75 cm | Approx. 3 voids |
Source: Kao — official website Japanese
Unicharm · Lifree
- Lifree Ultra-thin Underwear-feel Pull-on Adult Diapers, 2-void Reference
- Lifree Thin and Light Pull-on Adult Diapers
- Lifree Thin Pull-on Adult Diapers for Extended Use
- Lifree Rehabilitation Pull-on Adult Diapers
- Lifree Long-use Pull-on Adult Diapers for Use Without an Insert Pad
1. Lifree Ultra-thin Underwear-feel Pull-on Adult Diapers, 2-void Reference · S

Japanese packaging: size S; approximate 2-void reference.
| Size | Waist size | Approximate void-count reference |
| S | 50–70 cm | Approx. 2 voids |
Source: Unicharm — official website Japanese
2. Lifree Thin and Light Pull-on Adult Diapers · S

Japanese packaging: size S; approximate 2-void reference.
| Size | Waist size | Approximate void-count reference |
| S | 50–70 cm | Approx. 2 voids |
Source: Unicharm — official website Japanese
3. Lifree Thin Pull-on Adult Diapers for Extended Use · S

Japanese packaging: size S; approximate 4-void reference.
| Size | Waist size | Approximate void-count reference |
| S | 50–70 cm | Approx. 4 voids |
Source: Unicharm — official website Japanese
4. Lifree Rehabilitation Pull-on Adult Diapers · S

Japanese packaging: size S; approximate 5-void reference.
| Size | Waist size | Approximate void-count reference |
| S | 50–70 cm | Approx. 5 voids |
Source: Unicharm — official website Japanese
5. Lifree Long-use Pull-on Adult Diapers for Use Without an Insert Pad · S

Japanese packaging: size S; approximate 7-void reference.
| Size | Waist size | Approximate void-count reference |
| S | 50–70 cm | Approx. 7 voids |
Source: Unicharm — official website Japanese
Kami Shoji Ellemoi Ichiban
Ellemoi Ichiban Thin Pull-on Adult Diapers · S

Japanese packaging: size S; waist 52–75 cm; approximate 2-void reference.
| Size | Waist size | Approximate void-count reference |
| S | 52 –75 cm | Approx. 2 voids |
Source: Kami Shoji — official website Japanese

A diaper that is too large can leave gaps that lead to leaks. A size that is too small can feel tight and uncomfortable, and the wearer may try to remove it. Check the fit around the waist and legs and choose a size suited to the body.
Where adult and children’s size ranges may leave a fit gap


For some wearers, there can be a gap in fit between the smallest adult pull-on diapers and the largest children’s products. Options may include close-fitting cloth underwear with a compatible incontinence insert pad. I would also welcome hearing about the approaches you have found useful.
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