Abstract: A blood pressure cuff including an inflatable bladder disposed between an elastic, resilient inner layer of material and at least one outer layer of material. The bladder is secured to these layers along the elongate ends but not along the elongate edges. The bladder is not laterally constrained during inflation. The cuff is formed into a cylindrical shape having a fixed outer diameter and includes a backing layer and apparatus for securing the bladder to a layer of the cuff to hold the bladder in place during donning of the cuff. Because the bladder is not constrained along its contact-width edges, the shape of the bladder automatically adjusts to provide a longer contact surface for larger arms and a shorter contact surface for smaller arms. The cuff is especially suited for use as a closed cuff in an automated blood pressure measurement machine or in stand-alone measurement use.