There's many different suspender options out there, that's for certain. These are catered to the Amish & Mennonite of the local area in PA because of the way they're made. If you're Amish or Mennonite and looking for a pair, check with your district's traditions on the width. Ours uses the 1" width, button tabs in front with 2 singles in back, and the plastic adjuster piece in the back. As a lifelong suspender wearer, I can't compare these to a belt, but I can compare to other suspenders I've had over the years. In comparison, they're comfortable. The size I got was 52, but that's so I can have the extra room for adjusting and grow into them as well. I never tell that they're there, and trousers are always in place. I'd say the quality is good, and honestly, similar as every other good suspenders I've had. On the black suspenders, the inside is white, outside is black. The white doesn't show. The material isn't pure leather, which is great - it doesn't rub and stick on your shirt so when you're working, bending over, and everything else, your shirt isn't tugging at you because the suspenders has a hold on it. No problem there! Good luck with the suspenders if you decide to get them!!