The Knotted Bow Baby Shoe is handcrafted from genuine Italian leather and finished with a hand-tied knotted bow, a signature detail that makes this one of our most-loved styles. Designed with a soft, flexible sole, these shoes move with your baby's natural gait, supporting balance and healthy foot development from those very first steps. The elastic ankle opening makes them quick to put on and keeps them secure through crawling, cruising, and everyday play. Like all Freshly Picked shoes, the leather is intended to have a snug, sock-like fit that will stretch slightly with wear, so these run true to size. Reference our size chart to find the best fit for your little one, sizes Newborn through 5 (approximately 0-30 months). Each pair is handcrafted in Utah, one at a time. To clean, spot treat with a gentle baby detergent and a damp cloth, then let air dry. Whether it's a baby shower gift, a first birthday outfit, or a new everyday favorite, the Knotted Bow Baby Shoe is ready to be loved (and lived in).