Great with the right shoe.
I got this to go in a pair of moderately heeled narrow pumps with a strap. I love the shoes and find them extremely comfortable. I made the mistake of trying different inserts in the shoes one day, and wearing them was a totally different experience (I got blisters and red marks and pain in the ball of my foot, and ended up hobbling home!). I realized that while the shoe is good, this insert is what makes it awesome, at least for me. With these inserts in, the shoe is total heaven! I often get pain in the balls of my feet , but when I put this insert in, the pain is gone. While it does have a nice comfy heel gel, for me the main action of this insert is that it positions my foot perfectly in my shoe, gives arch support (there is a rigid plastic piece on the bottom that is very supportive), and somehow cushions my metatarsals exactly right for a pain-free ball of the foot! I actually wear a size 11 shoe and these are marked to go up to size 10. I was skeptical of them to begin with but it happens to be that they work perfectly for me in this dressy shoe.
Rating: 5 stars