I've placed about 5 orders with Individualized Shirts over the last 6-7 years, for a total of about 30 shirts. At first I was ecstatic to get MTM shirts at my local men's store (I was used to Philadelphia stores before moving a distance out), because in regular size I'm about a slim 15.5 x 37 (36.5 on one side, 37 on the other (technically a dropped right shoulder). But things haven't worked out as well as I would like. First the pros: - it is MTM, and assuming your store's service is like mine, you try on a few shells to get an idea of body fit - good selection of collars and cuffs (though not as many cuffs as I've seen elsewhere) - very good selection of fabrics, and this improved dramatically over time - with the move to business casual (yeah, I know) I could get a number of long-sleeve casual shirts that actually fit The cons: - the fit on the first batch wasn't great. Some of that was my doing, I accepted a looser shell than I should have. - quality and construction is OK at best. I've had shirts come with the buttons on upside down, for example - pattern matching. My gosh, this has to be the worst part. I've sent back maybe 3 shirts because a check, stripe, box, etc didn't line up across the front placket. I gave up with another, simply didn't open the shirt, haven't worn it. To their credit, the store folks do everything they can to make it right, but at $120+ per shirt and some alleged hand work, you'd think it would be much better than this (BTW, maybe only half of the shirts are patterned, so you're looking at 4 out of 12 not being right). - pattern matching part II - looking for comments here - how maniacal do you get about the pattern matching in the sleeve placket? My shirts aren't good. At last, the collar patterns match pretty well, as do the cuff patterns (ie the stripes are about the same length at the point and egde of the cuff), but this took a lot of talking to the rep during the order and ensuring he made notes. If you go this route, I'd suggest sticking to solids (or getting assurance re: the patterns), specifying all the details (type of back: box pleat, etc - otherwise you might get the "default") and waiting until the rep from Individualized Shirts came to your store. I found working with him much more satisfactory than the store staff. In fact, I needed a new formal shirt and wanted a very narrow pleat, and what they had on the sample cards wasn't doing it for me. The rep went out to his car and got more, and was thorough enough to ask about my stud set - three or four? Fortunately, I didn't have to worry about patterns. I have to go some sort of custom or MTM route to get a fit with selection, though Charles Thyrwhitt is decent and nicely priced. After seeing some of the posts here, I may try Jantzen and deal with the hassle or perhaps try Barba because of their slimmer fit (if the sleeve length is OK).