Before these arrived, I sprained my ankle, so my foot was swollen. I was delighted that these shoes opened widely and easily for me to ease my swollen foot into it. They're comfortable now that my foot is back to normal, too. The shiny patent leather trim is nifty. The arch is very comfortable -- not sure whether it's "medium" or "high," but it's comfortable.
It was a great shoe, but wrong size. I ordered it in a larger size and I love the shoes.
Shoes fit perfectly and are very comfortable.