Thanks for all the feedback everyone! This was my original post: And here's a few of my responses: Thanks! Medical professionals definitely do not seem like the type of people from which you should take fashion queues...at least not around where I live. Point taken. I shouldn't have posted the size since it isn't representative of a 38L. I'm 6'2" and 180 lbs (+/-10 lbs on any given month). My height is mostly in my legs, so I generally get a better fit with a 40R as opposed a long, then have the sleeves lengthened to get the length on my overly-long arms correct--picture Cosmo Kramer from Seinfeld and you'll get a pretty good idea of my build...it made it really hard to find properly-fitting suits and shirts before I discovered tailors and MTM.