I am sorry, but it is a myth that there's an actual difference between the fit of good mtm and bespoke shirts... Depends. If the client has a relatively straightforward physique, good MTM should be just fine, and the benefits of high-end bespoke may very well be de minimis. However, for someone like me, with extremely sloped and uneven shoulders and a large and disproportionate back, good MTM doesn't work that well. And I've tried quite a few.