here are some better pics i just posted in another thread. you can see where the belt runs through the loops on the back, and it sits very close to your body. "medium high" is kind of subjective but it is very comfortable and positions the handle of the gun at a good angle for a comfortable draw, for me at least. my husband carries his g19 either in a ttgunleather snap pancake like this one or an IWB reinforced mouth like you can see in my sig if you want better pictures. i don't have any pictures of me wearing it, and i'm 37 weeks pregnant so that's not happening right now, lol. definitely worth the 24 week wait to get one, between us we have 5 right now and another 3 on orderI just checked them out, very nice! I may be getting a 3"1911 soon and would like a medium high rise for it. How do those ride on the belt?