Assuming a full grip like the Shield, 43X, 365XL's provide, most people can shoot them as well as a full size double stack. Matter of fact, I think a lot of shooters end up shooting them better because the slimmer frame allows a better purchase (more contact) with a lot of shooter's hands and their associated grip.
Regarding grip, I took my new 365XLSC to the range today. 150 rounds of Winchester 124 gr. FMJ. Slow and fast fire. Arm's length to 10 yards. One-handed and two handed.
I'll tell you it's like the grip is custom made for me. Not once, in all 150 rounds, did I feel a need to slightly readjust my shooting hand after recoil. The sights come to my eye naturally.
