I have worn them several times hoping that I could find a solution (trouser socks, regular socks, toe pads)  that would make these comfortable, but I have not.  The almond shaped toe box is very tight (tighter than usual, but the rest of the boot feels larger than normal.  Feet slide to the toe box and get my toes get squashed.  I wear a size 5, so I can't imagine how a larger foot feels at the end of the day after wearing these.