I wear MBT shoes whenever I leave my home. I have foot problems, but I can walk for miles and miles in my MBT's, without pain.
I bought the MBT NIGHT so I could step out for more formal occasions and still be in comfort. The smooth surface will take polish and give a decent luster, just like any other dress shoe. And most of the time, no one notices that I'm wearing a different looking shoe that a Doctor recommended.
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