I wear orthotics and needed a lace up shoe that had depth and toe room.  I'll admit, I took out both of the insoles and replaced them with my thick orthotics.  This provided plenty of room for my toes.  The style of shoe is great - they do not have the "granny shoe" look, and I can wear them with jeans as well as my work slacks. They do not look bulky or wide.  I was concerned because the sole does not have the "tread" look that you see on athletic shoes, but the sole wears well. I will be ordering at least one more pair in a different color, and as this is my second pair of aetrex shoes, it's my favorite style.