US: 4XL to United Kingdom Size 18
Cross-market women’s belt and cinch conversion mapping 4XL specifications into 18.

Analyzing Women’s Belt Size Equivalence Across Markets
US: 4XL: Corresponds to a waist/hip size of 105 (42 ), waist range of 97–107 (38.2–42.1 ), total strap length of 115 (45.3 ), and fit classification Expanded / Plus.
United Kingdom Size 18: Corresponds to a waist/hip size of 95 (38 ), waist range of 86–97 (33.9–38.2 ), total strap length of 105 (41.3 ), and fit classification Relaxed Waist / Hip.