Fit seems accurate. My foot measures 11 inches. I bought the size 12/43 and it fit perfectly. Unfortunately, I wore them as soon as they arrived and was miserable by the end of the day. (It wasn't a matter of getting accustomed to the foot bed, although I've never owned a shoe like this before.) I tried them again a couple of days later and suffered the same ankle, knee and hip pain. This shoe is not for the flat footed. Try it at your own risk but I wouldn't recommend it. However, if this type of shoe has worked for you in the past, you'll probably be happy with it. It has a real leather upper and appears well made.
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