A medial column bone plate (100; 200), comprising: a first portion (106; 206) which, when the plate (100; 200) is positioned along a medial column of a foot in a desired position, extends along a navicular, the first portion (106; 206) including at least two first openings (112; 212) extending therethrough; a second portion (108; 208) extending distally from the first portion (106; 206) so that when the plate (100; 200) is in the desired position, the second portion (108; 208) extends along a medial cuneiform, the second portion (108; 208) including at least one second opening (112; 212) and a first compression slot (114; 214) extending therethrough; and a third portion (110; 210) extending distally from the second portion (108; 208) so that the third portion (110; 210) extends along a first metatarsal of the medial column in the desired position, the third portion (110; 210) including a third opening (112; 212) and a second compression slot (116; 216) extending therethrough, characterized in that each of the at least two first openings (112; 212), the at least one second opening (112; 212) and the third opening (112; 212) is a variable angle hole configured to receive a bone fixation element therein at a user-selected angle relative to a central axis thereof, and in that the third portion (110; 210) extends along a curve in a plane extending through a longitudinal axis of the plate (100; 200) and substantially perpendicular to the central axis of the third variable angle hole (112g; 212g), the curve of the third portion (110; 210) substantially corresponding to a natural curve of the medial column. a first portion (106; 206) which, when the plate (100; 200) is positioned along a medial column of a foot in a desired position, extends along a navicular, the first portion (106; 206) including at least two first openings (112; 212) extending therethrough; a second portion (108; 208) extending distally from the first portion (106; 206) so that when the plate (100; 200) is in the desired position, the second portion (108; 208) extends along a medial cuneiform, the second portion (108; 208) including at least one second opening (112; 212) and a first compression slot (114; 214) extending therethrough; and a third portion (110; 210) extending distally from the second portion (108; 208) so that the third portion (110; 210) extends along a first metatarsal of the medial column in the desired position, the third portion (110; 210) including a third opening (112; 212) and a second compression slot (116; 216) extending therethrough, characterized in that each of the at least two first openings (112; 212), the at least one second opening (112; 212) and the third opening (112; 212) is a variable angle hole configured to receive a bone fixation element therein at a user-selected angle relative to a central axis thereof, and in that the third portion (110; 210) extends along a curve in a plane extending through a longitudinal axis of the plate (100; 200) and substantially perpendicular to the central axis of the third variable angle hole (112g; 212g), the curve of the third portion (110; 210) substantially corresponding to a natural curve of the medial column.