I've had three surgeries on my feet, so comfortable shoes are really important to me. This shoe is roomy and well padded. There is plenty of room if you want to add an additional insole. I replaced the insole with one with more arch support. The bottom of the shoe is firm and I feel secure that I won't slip and fall. The bottom also has a nice rocker that aids in propulsion. The top hook and loop strap is longer than needed for me, but people with swollen feet will appreciate the extra length. I am a woman, but I bought this men's shoe because it was the only hook and loop sneaker that came in brown and was built like a real sneaker. While it's not as good as a truly orthopedic shoe, it is still a good shoe if you want stability and comfort.