From SAS, the Roamer Leather Strap Flat Loafers feature: Soft premium handcrafted leather uppers with an adjustable leather strap for a custom fit Beautifully designed cutouts offer breathability and a charming style SAS CoolStep™ Footbed: Our CoolStep™ removable footbed is designed to keep your foot dry and comfortable all day long The anti-friction top cover inhibits heat providing a cooler surface underfoot The bottom layer wicks away moisture while cushioning each step SAS CoolStep™ footbeds are antibacterial and washable for a healthy foot environment TRIPAD® Technology: Comfort system that provides shock-absorption and support to the three main pressure points of the foot: inside ball, outside ball and heel SAS Foot-Shape® Last: Developed and crafted by SAS Shoemakers, this unique last follows the natural shape of your foot, providing all-day comfort while giving plenty of room for your toes.* Cushion Outsole: Superior Polyurethane material is durable, flexible, and provides long lasting cushion for all day comfort Medicare Approved: This style has met the standards set by Medicare. Please see your doctor for details and qualifications." approx. 0.5" Heel height Imported.