I've found that the sizing of most men's US and Italian tailored suit trousers and odd trousers are pretty accurate. These are the trousers you will find with unfinished cuffs. Seems that the trousers that come with the length already sized and cuffed are the ones that get wonky.
I agree with the Baron about messing with jacket length and recutting a suit borders on folly. The fellow I was referring to wouldn't even make adjustments to the length of jacket sleeves or trouser cuffs much less dealing with chest or waist issues. Very odd IMO.
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