I like these a lot. They have more cushioning than other Sanitas or Danskos I've tried. They give a little bit when you walk and are very comfortable. But that comes with the arch support not being as firm, too, so if you need a lot of arch support or have high arches, you might want a more traditional Sanita or Dansko. These are also much more stable than my very old Danskos, which caused me to roll my ankles and/or fall a lot. I was actually told by a shoe salesman that the old Danskos had been redesigned because so many people rolled their ankles (which is hardly what your podiatrist is recommending). I compared and the the heel in the Sanita is about 1/2 inch larger in diameter than my old Danskos, making it more stable. However, my entire foot, not just my heel, feels like it's going to come out of the shoe when I walk quickly. I think the top doesn't come up as far as my old Danskos because I don't feel that way wearing them. The other problem with Sanitas is that the sizing is really irregular from shoe to shoe. I wear an 8 typically, and  8 1/2 in athletic shoes, and the 39 fit perfectly in this shoe but was much too short in another Sanita (but the 40 was huge). These shoes, however, are not as attractive as my Danskos or some other Sanitas. They really look pretty orthopedic looking, which is a shame.