I LOVE this shoe!  I have custom orthotics that work wonderfully with this shoe.  It has 2 inserts, one of flat padding and one contoured liner (like you get in any normal shoe).  You have the option of removing one or both inserts so you can use your own orthotics.  I removed the top insert, left the bottom flat insert and inserted my orthotics, which gave extra padding/cushioning than I normally get with a shoe.  This shoe is not designed for a person with normal foot, but is PERFECT for those of us with problem feet and/or orthotics.  I will never buy another brand of shoes again - thanks, Drew Shoes!!!