I have 9.5 size shoe and ordered the 43.5 and the fit was perfect.  They are a pinch tight but I'm expecting them to stretch; as well, I can adjust the tightness with the velcro.  I don't really have a wide foot.

I plan use these on a road bike.  I do stop occasionally to poke around, or when I'm riding with the kids, and so the depressed clip is nice.  The sole is stiff as to be expected and provides great support.

Rode 26 miles with these to break them in and they felt perfect right out of the box.  Even though they were just a bit tight, it didn't bother my feet at all.

Very happy with these.  Would by Pearl Izumi again.

The DON't come with clips so you'll need to make sure you order those separately.