X-Large fits Women\'s sizes 13 - 14.5 and Men\'s 12 - 13.5 * The DARCO WCS Wound Care Shoe System is the product of choice when dealing with Wagner Grade 3 or greater ulcerations * The four multi-density insoles can be modified effectively removing pressure from the plantar aspect of the foot * Four Multi-density Insoles allow for the ultimate in customization and precisely targeted off-loading * Ultra-soft Plastazote