I bought these shoes for work and since that involves long hours of standing I was looking for a shoe that would support my back and was also dressy enough to wear with black pants.  These turned out to be the perfect shoes. The design pushes you forward in the shoe so instead of the majority of your weight being back on your heel, it is more evenly distributed to the ball of your foot.  The shoe fits true to size for me so I don't think you need to order a size up or down. I really do love these shoes, but I do have one complaint.  The liner of one of the shoes came out after a couple of months of wear.  This can cause it to scrunch at the bottom of the shoe which is pretty annoying and uncomfortable.  I put a little super glue at the bottom and it is staying in place now.  I have also received many compliments from people on the shoe at work. They did not know the shoes were orthopedic style until I lifted up my foot to show them the bottom of the shoe.

Overall, cute shoe that will not have you cursing your feet after a 10 hour work day.