A medical shoe having a plurality of outsole projections is provided. The medical shoe may include a sole assembly configured to support a foot, and a frame surrounding the sole assembly. The sole assembly may include a midsole portion forming a substantially planar surface for supporting the foot and an outsole portion including the plurality of outsole projections extending from the midsole portion. The frame may include a plurality of through holes corresponding to the plurality of outsole projections. The plurality of outsole projections may extend through the plurality of through holes so as to form a ground contacting surface. The plurality of outsole projections may also be provided in a symmetrical pattern. The sole assembly may be secured to the frame by a self-locking fit between the sole assembly and the frame.