After two attempts to wear these shoes I gave up and gave them to another nurse on the unit.  I just didn't find them comfortable.  She wore them a couple of times and said that she doesn't like them either. Just aren't comfortable. They are very supportive with lots of cushioning but they are heavy and I guess they are giving you a workout thus the name "toner" but they just wore me out to wear them at the hospital. Also, they make a clacking noise when you walk on the tile floors. They were loose in the heel area but I have narrow heels. I think this is a shoe that you either love or hate. I know two people that hate them.