The shoes are really nice and offer a great deal of support BUT they do run small.  I had ordered a pair for my 89 year old mother who suffers from a venuous ulcer on the top of her left foot.  She has a skin graft on the top of her foot and a great deal of swelling.  I needed to find her a shoe that offered her support.  This item would have been perfect but they were too small for her to put her foot in with all the bandages on her feet. I am going to see if I order her a size or two larger if they will be a better fit.  Plus these came much quicker than expected.