I've been wearing this on my ankle for about a year now. It keeps my tourniquet handy & accessible but out of the way. I don't even know I'm wearing it. It's a bit of a pain to stuff the tourniquet inside the pouch, but you seldom have to do it. It only started working it's way out of the pouch once in the last year but I caught it before I lost it. I would recommend this to anyone wanting to keep a tourniquet on their person at all times.