I have 43 (Europe) which according to the international conversion table is 9 (USA). So I bought 9 (medium). I was a little apprehensive on the first try because they were a little tight (toes were very close to the front composite protection, barely touching) but after a few days of "breaking" the shoe now fits perfectly. Glad I didn't take 9.5! Very comfortable safety shoes and they look really good! Love her! :)
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