US: 5XL to United Kingdom Size 18
Cross-market women’s belt and cinch conversion mapping 5XL specifications into 18.

Analyzing Women’s Belt Size Equivalence Across Markets
US: 5XL: Corresponds to a waist/hip size of 110 (44 ), waist range of 102–112 (40.2–44.1 ), total strap length of 120 (47.2 ), and fit classification Extended 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.