Stitching an outsole for production typically involves attaching the upper portion of the shoe to the sole portion of the shoe. It can be done either manually or with a machine. Manual stitching requires skill and patience, but it is often more economical than using a machine. The steps involved in manual stitching include marking, cutting, punching holes, stretching leather over the sole and stitching together with a waxed thread. If a machine is used, it is typically an industrial lockstitch sewing machine that uses thick thread and heavy-duty needles to sew through multiple layers of leather or other materials with sole.

In a moccasin outsole stitched construction, the upper part of the shoe is stitched directly to the outsole, creating a seamless connection between the two. This type of construction allows for maximum flexibility and comfort, as the shoe can move and bend with the natural movement of the foot.Moccasin outsole stitched shoes are often associated with casual and outdoor footwear styles, such as loafers, boat shoes, and hiking boots. They are also commonly used in traditional Native American footwear, where moccasin construction has been practiced for centuries.