I have always wondered how somebody can wear these shoes every day.
You get used to it. I started at thirteen, and initially found them pretty uncomfortable, but after a year or two, I found myself preferring heels. The only real problem is that they have the tendency to mess up your feet, specifically, your toes. My mom has the marks from them.
I wear toe cushions purchased from the drugstore that relieve the pressure they puts on your toes. Works pretty well.
I cannot wear shoes like that; I've always worn shoes like those Dansko sandals--solid low heel, wide area for the toes. Because of that, my feet are in perfect shape and I have never had to see a doctor for my feet.
Mine's kind of fused with bohemian, rock-ish something or other, ethnic prints, old jewelry and scarves, some Russian folk and military-looking items. I usually wear jeans and flip-flops and get creative with tops and accessories and such.