Abstract: An incontinence undergarment and accessory for persons of obese body type. The accessory includes a belt member sized to surround the user's torso having an anterior and posterior segment joined by to connecting segments, and further includes at least one anterior and one posterior vertical suspension member, both having sufficient length to terminate proximate to or above the user's pelvis. The vertical suspension members provide a desired fixation location for receiving an absorbent incontinence component. The incontinence undergarment includes an absorbent panel having anterior and posterior vertically extending suspension members, which are linked to a belt member sized to encircle a user's torso. Variations of the invention include alternative belt member configurations for user's of different body mass and shape, and alternative vertical suspension member arrangements.