As Jock says, "bespoke" means having a garment made to your individual requirements and it will take account of any physical deviations from the average that an "off the peg" or "made to measure" one will not. This crowd are in the States at the moment and you might want to see them if "bespoke" is really what you want - http://www.dege-skinner.co.uk/tailoring/travel2.htm