Oh my gosh! I have ordered 6 or 7 pairs of El Naturalistas in the last week or so! Fantastic deals and quick free shipping from this seller- Shoe Liquidator. Love this brand - lovely quality and styling. This boot has a high heel, but it is fairly comfortable considering. If you need to add a ball of the foot pad or insert, I would order a size up. Bought a similar pair last year and I did add a gel pad. I wear somewhere around a 7 1/2 (EU 37 or 38 depending upon style and brand) and have a medium width foot, high arch and instep. The 38 fits me like a glove, but if you have longer toes, or like thicker socks, again, you may want to size up. Just a very flattering style to your feet. I am very pleased.