There are three areas where bespoke offers more than made to measure. None of them are clearly better all the time, but they usually are. First, your choice of cloth. For bespoke you can choose from anything that's in inventory at your tailor or available from fabric suppliers. MTM, on the other hand, is usually restricted to the cloth inventoried by the supplier and that tends to be similar to what's available on the rack. Secondly, the MTM factory will have limits on the features it offers and bespoke has none. As an extreme example, you may want a belted shooting jacket with plus fours. That's an easy bespoke request that won't be accommodated by many MTM suppliers. br> Finally, construction and that includes fit. You'll usually get more hand work from bespoke, such as hand sewing of the internal canvas, and that results in an easier fit. So while the first suit from a new bespoke tailor may have a small fit flaw or two (for example, while the sleeves of my first suit from a London independent bound slightly at the elbow - creating wrinkles - the second suit had slightly larger sleeves and no more wrinkles), they are unlikely to be so large as to overcome the first and second advantages.