I have a lot of leg, foot and lower back issues due to severe bone breaks several years ago.  These are the only shoes that allow me to walk pain-free for hours at a time.  I have a new spring to my step and my posture is corrected wearing this shoe.  The shoe cushions the entire body well.  Actually, this shoe feels like a sneaker.  I would not purchase this model as a dress shoe as it's more for casual wear.  The black color hides the large outsole.  With other colors (brown), the large outsole is more visible.  This years model(s) sport(s) the new low-profile outsole which looks better than the previous years model(s).  As the other reviewer noted, this is a heavy shoe.  Every pair of MBT I own is heavy - this is three pairs total.  I would rate this a five out of five, but the weight and styling bring it down a star.  However, the feel is remarkable!  Sometimes one has to sacrifice style for comfort!