Please be sure to check the size chart before ordering: Sanita has recently updated its USA size conversion recommendations. CLOSED-BACK CLOGS FOR WOMEN: The Addison features a black brush-off Cabrio leather upper with a padded instep and an anatomically correct footbed and microfiber insole. The polyurethane outsole features a rocker bottom and this style is approved by the APMA. DURABLE, SHOCK ABSORBING OUTSOLE: Put some distance between your feet and those hard, concrete floors. Go from ouch! to ahh! with every step. Never feel cramped or squished. Lots of room for your toes thanks to a roomy toe box design. ASTM-CERTIFIED SLIP-RESISTANT OUTSOLE: An outsole designed with an extra level of slip-resistance for when things get a little messy. Ideal for healthcare and hospitality jobs. APMA APPROVED: Sanita Clogs are doctor approved! Our clogs have long carried the Seal of Acceptance from the APMA, meaning doctors recommended our clogs for promoting good foot health.