If you must wear your custom orthotics all the time, this is the only sandal on the market with a removeable footbed and enclosed toe and heel.  With the enclosed toe and heel, your orthotics stay in place and don't slip around. For a sandal, this shoe is a little hot, but it is better than not being able to wear sandals at all. While I am a hiker, I wear these shoes for everyday to get the arch support I must have. The high heel is not a problem with orthotics.

I also would like a more neutral color. While I can make the medium width work on my narrow feet, I would like the shoe to be available in narrow width.