The fit is slightly small if you want to wear socks. Without socks they're fine. I weigh 160 kg. and have very bad arthritis everywhere, some from my weight and some from a hit and run 35 years ago.In all that time I have never found such a comfortable shoe, not to mention one that offers such terrific support for my poor, abused body. For anyone in constant pain who would like to increase their ability to walk/exercise more, I couldn't suggest any better shoe. As for how they look, everyone comments on how great they look.