In this episode of HSS Presents, Dr. Matt Conti sits down with Dr. A. Holly Johnson to discuss the rapid progress and clinical benefits of minimally invasive foot and ankle surgery. The conversation explores how percutaneous techniques utilizing specialized burrs lead to smaller incisions, reduced soft tissue damage, and significantly faster recovery times for patients. Dr. Johnson candidly shares her own learning curve and highlights the most impactful minimally invasive procedures in her practice, from calcaneal osteotomies to bunion corrections and first MTP fusions. Balancing enthusiasm with caution, the experts also debate the complexities of the MIS Lapidus and lesser toe procedures, offering practical advice for surgeons looking to incorporate these game-changing techniques into their own practice.