I never expected to find something that fit my feet as well as my worn-out Birkenstock Tatami sandals did, but these are almost as perfect a fit AND they're more comfortable and supportive, which I need. Pretty, too, for orthopedic shoes :  ) Bought a size larger than I normally would since I heard they run small, and they do. I'm a 9.5 medium-to-wide and purchased a 40. 40s are usually too long for me, but these aren't. The arches hit my feet right where they're supposed to and the shoe is wide enough. The strap design is perfect for keeping my duck feet in the shoes. Thrilled with Mephisto so far, I can finally stop mourning my Tatamis. Saving up for a pair in another style since I'll probably be living in these -- they're a little pricey but well worth it, especially if you have trouble with your feet as I do. Echo the comment of another reviewer that I wish the footbed was black to match the black nubuck upper instead of light gray. But that's a small thing compared to the more important benefits. Lastly, my friend, who is a devoted Mephisto wearer, assures me that when I wear these out I can send them to Mephisto for retro fitting. It's expensive, she tells me, but less than the cost of buying a new pair. Nice to know since Murphy's Law dictates that as soon as you find a shoe you really love and that works for you the manufacturer will discontinue the style...