These shoes are much cuter in real life than in the photograph.  I ordered my regular size 7.5, and as with all Skechers shoes in my experience the toe box is quite short.  This should not be a long-term problem because they are leather and they will stretch.  That said, these really take some getting used to in the beginning.  The feel really does simulate that of walking on sand.  I have been wearing my Shape-ups for 2.5 weeks now, gradually working up to spending more time in the shoes while on errands, etc.  At first, it was difficult to walk down the sidewalk and NOT look like I was drunk!  I do really feel some muscle action going on in my saddlebag area since I started wearing these.  I have also had kind of an aching back when I wake up in the morning, which I did not have previously.  Not excruciating pain, but hopefully this will go away with a little time, I think it is the height and angle of the shoe since the sole is so thick.  I do appreciate the added height these shoes give me.  12/31/09 update.  I have lost 12 lbs over the last 8 months using Weight Watchers online.  Lately, with the extra goodies over the holiday season and all, I have not been as careful watching what I eat or exercising at all but I have not gained any of the weight back.  Yay me!  I really believe I have to give some credit to these shoes.  I'm not saying to expect a miracle with them, but I do think they may help to enhance your efforts (kind of like Alli, but without the nasty side effects!)