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1 A hand is equal to 4 inches or 10.2cms. 2  You should measure your horse from the point of the withers to the ground. 3  A horse that is 61 inches tall is 15.1 hands or 15 hands and 1 inch or 15.1hh. 4  This is calculated using (61/4 = 15.25); the .25 is the decimal equivalent of one quarter and a quarter of 4 = 1; so 15.1hh.
To measure a horse's heart girth, measure (in inches) from the base of the withers down to a couple of inches behind the horse's front legs, under the belly, then up the opposite side to where you started. Notice this will cause your tape measure to run at an angle as shown by the blue line in the photograph at right.