It looks like a tube of stretch fabric. You put it on over your (unbuttoned) regular pants and it holds them up. I was hesitant at first, because most of my pants are low-rise so I didn't want the bella band to suddenly fail and have my pants fall down. LOL! So far, so good. I do have to readjust it sometimes, but it's not bad at all. There are many ways you can wear it. I think in the instructions I got with it, it said that for early pregnancy you wear it folded in half over the top of your unbuttoned pants. However, I didn't like it like that. I felt like it squeezed my belly too much. I now wear it unfolded (so the bottom is covering the top of my pants and the top of the bella band is over my belly). Much more comfortable this way! I highly recommend. Oh, and it doesn't really look like you're wearing anything weird because the bottom of the bella band has some cute lacy design so it just looks like you're wearing a tank top or whatever under your regular shirt. Since layers are in right now then nobody can really tell that it's anything more than just a layer, ya know?