The sex sling by sportsheets itself is 46 1/2" from where your foot is placed to your neck; it's that length unadjusted, but when you adjust it, it will become shorter. The leg cuffs are about 10 1/2" before you wrap them around your feet/ ankles. The neck rest fits perfectly to just about any, if not all, neck sizes. Perfect for beginners, and the more advanced,Perfect for just about all sizes.