Shoe is quite wide for a medium width and has only moderate insulation.  Would not purchase again*. Well constucted however.

Update: *I have had these boots a year now and compared them to similiar boots purchased at Land's End.  The problem with both boots of this style is: they are really heavy also.  They appear to be simply a full sized boot cut to a shoe style and with (unneccesary?) steel shank soles are heavy such that the instep support isn't sufficent to provide good fit.

I'll keep looking