Making a bespoke orthopedic last takes a lot of time and needs to be done by a talented, experienced person in order to be any good. As bespoke lastmakers also only have 24 hours in their day, their output potential is very small. Take for example Eiji Murata, one of the best bespoke shoemakers in the world. He is only able to craft 15 pairs per year and has a waiting list of about 2 years.
With AI, the production of such lasts can be scaled very easily by letting the computer design the lasts by itself. For the first time in history, bespoke shoes could be available for the mass-market.