i am a nurse. with bunions. on my feet all day. have a very hard time getting comfortable work shoes. these shoes were listed as #1 for nurses with bunions in a podiatry journal. i read the reviews and got a half size up. they are still too tight crosswise. fit fine lengthwise. not sure if going up a full size would have helped. i used to where anywhere nursing clogs years ago and did not have this problem. some reviews said that they "stretched"- not sure how since they are synthetic, but we shall see.