With the intent to find the best and most comfortable mid heels, I tried on the Valentino Tango 50 mm ankle strap pump, the Aquazzura Alix 50 mm suede pump, and the Manolo Blahnik Listony ankle strap pump. Although I preferred the toe shape and heel of the Valentino, the leather was not very forgiving and the top line of the vamp cut right into my problem toe joint (this probably would not be an issue for other women, but I had surgery on this toe). The Aquazzura pump felt much better, mainly due to the suede being softer leather in general and the topline was cut in a way that covered my joint, so no undue pressure there. I do like more classic almond toe shapes, so in this battle, Aquazzura in suede wins for me. But I will try on the Valentino in another leather to be fair.
Before I left Barney's for the day, I did slip into the Manolo Listony Ankle Strap, but I had the same issue with the leather and cut of the topline into my big toe joint as the Valentino.