And if these don't cause them, nothing will! YEEEOUCH!!! My actual shoe size is 9.5 W, so when I order a size 10, they're usually a little long in length, but otherwise comfortable. These are perfect in length, but too tight in width. I can actually feel pain and pressure at the base of my big toes, right where my foot bends. My toes also feel crammed into the pointy toes on these shoes. I love pointy toe shoes and own several other pairs that are far more comfortable than these. I was concerned that the style with the lower heel might not look as sexy as the higher heel version, but they are just as sexy. They are cut sufficiently low on the sides, without feeling like they're going to fall off when I walk, and they do show a little &#34;toe cleavage.&#34; If it weren't for the lousy fit and pain they cause, I would have given 5 stars. I hope they start making these wider and with a little cushioning. Then I would love them. As for these, I HATE the hassle of returning things, so I'm giving all 3 pairs away. ***UPDATE*** I've upgraded my review from 2 stars to 3 stars, due to exemplary customer service. I was contacted by the seller, who offered to resolve this matter for me in a very professional and satisfactory manner. The customer service is worthy of 5+ STARS! Although I cannot wear these shoes myself, I do have 2 family members with narrow feet and feel that these would make great gifts. With customer service like this, my confidence has been restored.