I bought these shoes to wear after bunion surgery. I had a special shoe on the operated foot and wore the Alegria on the other. After 3 weeks I had a sling that I had to wear on the operated foot. I was able to wear both shoes after this since the Alegria's allow for adjustment with the velcro and strap. I was so pleased I purchased another color and will wear these shoes as my foot heals. The shoes are wider than a normal shoe. So if someone has a narrow foot this may be a problem. There is velcro and a strap to tighten them up. I wear an 8 in normal sizing and the 38 was a good size for me.