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In response to TheSundanceKid...When I worked as a police officer in Washington State, I responded to a call in which a guy stuck a .45 down the front of his pants appendix style. When my partner and I arrived, he was sitting in a chair in his kitchen with a bloody towel draped between his legs and blood all over the chair beneath him. You can probably figure out what happened but I had to take a look for myself and after seeing what that bullet did to that guy's pride and joy I will never carry appendix and stick to IWB or OWB at the 3-5:30 position exclusively. Needless to say that guy was rushed into the ER and eventually had to be airlifted to Seattle for treatment. I never heard what ultimately happened but I don't think the guy was able to function quite the same prior to sticking his pistol down the front of his pants that night.
I had the same fears but what I do to avoid this is the gun comes in and out from appendix carry with the holster. I never stick the gun into the holster once I have my holster in the pants. I use just a simple single clip Kydex holster. So far so good, I can’t conceal at 3-4 o’clock at all so I’m stuck with this. I’ve considered da/sa for just this reason. I still may switch at some point.