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please according you foot length(Heel to Toe) to choose size. the us size just for reference. for the size if you still get confused. feel free to contact with us. Please note The length of the insole is not equal to Heel to Toe (cm) With the difference in the measurement method,please allow 1-2 cm in size deviation USA 4.5 = European 35 = Heel to Toe(cm) 22.5CM USA 5 = European 36 = Heel to Toe(cm) 23CM USA 5.5 = European 37 = Heel to Toe(cm) 23.5CM USA 6 = European 38 = Heel to Toe(cm) 24CM USA 6.5 = European 39 = Heel to Toe(cm) 24.5CM USA 7 = European 40 = Heel to Toe(cm) 25CM