My trial suit was a 44. I'm 6'2 and 195 pounds and go with the wide lapel option. There is no way I'd describe it as medium width or needing an additional 0.5 inch. As stated previously, I prefer the wide over the standard, but want to make sure we're passing along accurate information here. Edit: should have read the last few pages first; I now see this discussion has gone completely and needs no more discussion.