New never used or opened. Retails for $49 Size Large- 10-11.5 US shoe size Includes: 1 pair of permanent placement insoles For all styles and types of shoes with a 2 inch heel or higher. Awarded American Podiatric Medical Association Seal of Acceptance. Adhere our COUTURE weight-shifting insole to your high heels and experience long-lasting comfort in high heels. Unlike other products, our weight-shifting insoles do not cushion, pad or gel forefoot pressure - our insoles PREVENT forefoot pressure. Designed by a world-renowned podiatrist and a rocket scientist, this is our most scientifically-superior insole...and unlike anything you've tried before. If you want to prevent high heel pain and experience long-term comfort, Vivian Lou COUTURE weight-shifting insoles are the obvious choice.