I am a large man at 340+ pounds and large 13 feet. Finding shoes that fit correctly but also are not going to damage my fragile feet is a hard task. This is my fourth pair of Keen shoes, 2 are actual shoes and 2 are open for beach or leisure. They came recommended by my podiatrist for my feet. The inserts fit great and with these shoes I have yet to put the insert in and no real issues yet as they have great arch support already. One word - comfort. if I had to use comfort - quality I indeed recommend these shoes for comfort and quality. Try a pair and you won't regret it.