i wear an italian 42 and us 11/11.5. i thnk my feet are ont eh large size but considering the avg woman wears a size 8.5/9 the should stock a 42.... i really wish i could find cute shoes easier.... like all the slick designer deals on ebay or in daffy's.. right now i rely on zappos for shoe buys. but awesome brands like jeffrey campbell don't even make them in my size.ugh!!!