I bought these thinking they would look as nurse fashionable as the Danskos I normally wear. The leather material is softer so it does not hold its form as well as my Danskos. It has permanent creases from where my toes bend. I put them in a box of shoes while moving and the top was flattened and disfigured when I unpacked, which did not happen with my other nursing shoes since they hold their form well and are extremely sturdy. The pillow like cushioning of the sole is soft but not supportive. Previous reviews states these ran small in size so I ordered half a size larger and they ended up being too large. They look good with my white scrub tops but I would have preferred white Danskos instead of these.