Low energy X-ray emission (0.1-10 keV) from all six millisecond radio pulsars (MSPs) for which such emission has been reported support a proposed pulsar magnetic field evolution previously compared only to radiopulse data: old, very strongly spun-up neutron stars become mainly orthogonal rotators (magnetic dipole moment perpendicular to stellar spin) or aligned rotators. The neutron star properties which lead to such evolution are reviewed. Special consideration is given to agreement between predictions and observed X-ray emission for the aligned MSP candidate PSR J0437-4715.