Bought these shoes for my husband. His foot is 4e, which is not found in our area, even in upscale shoe stores. They appear to be sewn on the toe, each side, even the balls of the feet and back. There is material between the tongue and the back of the shoe that my husband seems to like. He says they are really comfortable and appear to be well made. He's had them for about a month, but he wears them to work two or three times a week. So far, so good.