Its easy - with a good belt and a good horsehide holster IWB - with a full sized 1911 ( 5", steel gun )....
I prefer Kramer leather holsters...
AT 6'5" and 290 lbs....it might be easier for me than others...but it just depends on what your outer garment is... a vest, a windbreaker, a sport coat, a large shirt....all make it pretty easy...
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