This shoe is designed to fit women's size 11 and men's size 9. It conforms to the Medicare Therapeutic Shoe Bill and is approved as an extra-depth shoe for certain patients with diabetes. The upper is constructed of lycra to provide comfort for patients with forefoot deformities or lesions. It has a firm heel counter to provide stability and a comfortable fit. The extra depth is concealed in the molded outsole to provide a lower profile and enhanced style. The shoe is machine washable. The toe box is made of lycra material to stretch over foot deformities such as hammer toes, bunions, etc. It has one strap loop lock for easy closure. The shoe is latex free.