From Naot, the Catania Leather Mary Janes feature: Leather upper Adjustable hook and loop Mary Jane strap with decorative buckle Padded technical lining Naot's flexible, removable, anatomic natural cork & latex footbed Arch support, hallux support, deep heel indentation, flexible, durable & shock absorbing Orthotic friendly Synthetic outsole Approx. 1.25" heel height American Podiatric Medical Association (APMA) Accepted for promoting good foot health Imported.