Some of the signs of flat feet are pain in the feet, especially after standing or walking for extended periods of time. Other symptoms include slow walking and difficulty in keeping up with others. Conservative treatment options of flat feet include changing the type of shoe worn or wearing an orthotic device. Some over the counter insoles can be helpful, but a better option may be creating a custom fit foot orthotic that is specifically made from an impression of your feet. There may also be surgical options for treating flat feet in some cases.