Pocket carry. If allowed, I would switch my duty pants to the EMS type with the larger pockets and come up with a EMS holster that was 2-sided. One side would have the usual setup for your trama shears, penlight, pen, etc, and the in-pants side would be setup to carry something like my wife's Kahr MK9. They would balance beautifully and be unnoticable.

Unfortunately, that will never happen.