Set of 4 packs of LivDry Protective Underwear, XX-Large size (hips 60”-80”). Each pack contains 12 underwear, designed for both men and women. USA Made •Extra absorbency for day or night protection •Barrier leg cuff helps prevent leaks •Soft, absorbent, and leakproof design •Brand new, sealed packs •Total: 48 underwear (4 packs of 12) Note: one package opened at the seal when I pulled it out of the box! All 12 are accounted for.