The unique differences stem from the following fundamental aspects: Bespoke process involves creation of a garment pattern drawn purely from scratch accounting for every unique feature of the client's shaping. Made-To-Measure (MTM) garments are made from pre-made block patterns that take into account client posture, shoulder drop, and other unique body shape factors to a small degree. Bespoke garments are made almost purely by hand and by skilled & classically trained artisans. MTM garments involve very minimal to no high-level skill involved, which makes it an option for acquiring a good fit, without having to pay for high-level bespoke work. In terms of design, there are many limitations in MTM clothing; whereas a bespoke tailor can craft almost anything a client wishes to have. Whether it be a unique pocket shape, lapel curve, or vent length, almost anything is possible with bespoke tailoring.