These accommodate my orthotics easily. There is also plenty of room for thick socks, I got the EEE boot. They are true to size or a tiny bit big. They are comfortable and the sole is cushioned well so as to soften impact. I thought I might wear them to work where I walk 5 miles a day at a college, but they are just a tad clunkier than I like to do all that walking in (I like the New Balance MO 1000 and that sort of boot for walking, it is more like a high top sneaker, a little lighter and more maneuverable). So, I am using them for other things. I wear them to church, and most other places.
Update: I am starting to roll them over to the outside. I think that they are constructed of to soft of leather for me, or they need a stronger heel to keep this from happening? The soles haven't worn, the boot is still comfortable.