Some physicians like to wait until the foot is bigger believing that the surgery is easier and there maybe fewer complications. Many believe that anesthesia is safer in the older child. There are several surgical incisions that maybe used to correct a clubfoot. The type depends on the severity of the deformity, where most of the deformity is in the foot and the physician's education. Most physicians agree that clubfoot surgery consists of releasing abnormal joints, lengthening tight tendons and moving the bones into a more normal position.
Some people hold the bones with one or two pins.
Occasionally, the bones may need to be cut so their shape can be changed. The amount of surgery usually depends on the severity of the clubfoot. Approximately eighty percent of clubfeet, which undergo surgical management, have a satisfactory long-term result. This means the foot is flat on the ground and straight, there is adequate movement of the joints and the foot in painless. Twenty percent of operated clubfeet have a recurrence of the deformity.