One Size Fits None

A rare storytelling glimpse into the world of people living with pelvic organ prolapse.

Imagine that everyday things like walking, doing exercise or being intimate with your partner are a challenge for you. Now imagine the only solution to this challenge is a one-size-fits-all-pink-donut-sized-silicone ring that doesn’t always work or feel comfortable for your body!? Sounds unreal. Yet, this is the reality for many women and genderqueer people living with a condition called pelvic organ prolapse. 

One Size Fits None is an audio-led storytelling experience that offers a rare glimpse into the world of six people who are living with pelvic organ prolapse. This medical condition affects about 60,000 people every year in The Netherlands and 140-million people worldwide – but is largely overlooked by the design and medical fields. 

When someone has a pelvic organ prolapse, their internal organs – like their bladder or intestines or uterus – descend out of the pelvic cavity. The solution is often a pessary, designed as a silicon donut and placed in the vagina. Most people aren’t able to share their stories openly due to feelings of shame.

At Dutch Design Week 2026 we present our audio-storytelling installation and our publication, chronicling our early design research for this project. One Size Fits None: Field Notes for Designers (published in English).

We spent time in a hospital for this project, collaborating with two pioneering gynaecologists Dr Kim Notten and Dr Mirjam Weemhoff. We carefully recorded and collected first-hand stories, allowing a powerful narrative portrait to emerge. These stories are told by patients, in their own words. This work means a lot to us. We’re exploring how sharing stories from patients - ones who are rarely seen or heard - can influence a change in the treatment of this condition.

One Size Fits None is made in collaboration with Fillip Studios, Ismay Dotinga and Tania Barker. Our sincerest thanks and gratitude to Dr Kim Notten and Dr Mirjam Weemhoff for their dedication to improving the lives of people with pelvic organ prolapse; as well as to the six patients at the Radboud University Medical Center who donated their stories to our research.