These shoes come in sizes that are hard to find (e.g., Size 12, 4E), which is why I was attracted to them. Plus, Dunham makes quality shoes and I needed black dress shoes. They arrived quickly. The shoes are comfortable to wear from the beginning - no break-in period. The shoes come with a removable cushioned pad inside. These shoes are orthopedics friendly. I found them true to size. They also have a wide, deep toe box.