Therafit Shoe Women's Mary Jane 2.0 Casual Walking Shoe Fabric Made in USA or Imported Synthetic sole Patented technology utilizing the signature 7-layer Personalized Comfort System (PCS) 3 removable PCS dual-density comfort adapters in the midsole wedge Superior arch support with a Removable cushioned insoles featuring gel inserts for added protection Adjustable strap for comfort and fit Approved by the American Podiatric Medical Association