I purchased these booties for my daughter large so she can grow into them.

1.  Suede outer, man made interior, so says the packaging.  Fluffy lining easily detaches, especially at the edges (which are cut and unsealed). Product description clearly stated GENUINE SHEEPSKIN. Is it?
2.  Not made in US.  I don't know why I thought this was implied, but I was under the wrong impression. Made in the Dominican Republic.  Package description does not say where the materials are from, but I don't think there are a lot of sheep in the tropics.
3.  Poor quality stitching.  Uneven, a bit bunchy, especially where materials overlap.  Cotton thread?
4.  Sizing is large as stated in other reviews.  This size 4 is a size 5 when held up against the soles of other infant shoes.

But, the booties are exactly as pictured, very soft and cute, nicely colored suede.  Pricing seems fair, quality only OK.