I have several pairs of Bella Vita because it is about the only brand I like that I can get in a Narrow (size 6).  That being said, this particular shoe fits pretty well across the leather band closest to my toes, but the elastic bands are slightly big and loose on my foot.  I kept them anyway and they are comfortable but would have looked neater if the elastic bands had fit.  I should also mention that the sole is VERY slick.  I would not want my older Mom to have these for fear of her falling.  You could probably put something on the bottom to remedy this.