This boot is made for my foot perfectly in every way. I have shorter toes w a long mid foot with a slim to medium foot. I was born with a connective tissue disorder, Ehlers Danlos Syndrome, leaving my joints hypermobile and prone to injury. I recently sprained and subluxed my left ankle and have been healing from that injury. When I placed my foot into this shoe I felt instant stability, and no pain what so ever.. I normally wear a size 9 but 9.5 with my orthotics. I am able to use my orthotics w this boot and have plenty of toe room. The shoe is made in europe and I am european by descent so possibly it is just a good fit all together for me. I am also a Physical Therapist and I highly recommend this shoe. I hope you make more in the future! Thank you!