I bought my first ecco shoes in Hong Kong and they were fantastic. I've bought a few others in the States but since the smallest size they sell is #40 (from 6 to 6.5). ) are still too big for me, so I have to use an insole. The only shoes I could buy in the States that fit me were the Swiss Bally, and only occasionally when I got a call from the store saying they had a pair.