From Naot, the Kirei Leather and Suede Mary Janes feature: Leather and suede upper American Podiatric Medical Association (APMA) Accepted for promoting good foot health Orthotic friendly Hand-sewn Strobel construction  Adjustable hook-and-loop mary jane strap closure Padded heel cup for stability and comfort Padded technical lining which provides comfort and absorbs moisture. suede wrapped removable, anatomic cork & latex footbed molds to the shape of the foot with wear Synthetic outsole Approx. 1" heel height Handcrafted in Israel Imported.