Let me start off by saying I'm not a Dansko fan. I have wide feet, plantar fasciitis, and these shoes are always so snug. I got size 42 with the extra cushion, and got some extra plantar inserts. Not at all impressed, wore them 12hrs a day for a little over a year, my feet hurt after every shift. This is my 2nd pair of Danskos and I'm not planning on buying another pair