Dr. Sebastien Demoiny discusses his experience working in a multi-specialty group, his involvement in research and design of medical products, and the decision to bring on a physician assistant. In this conversation, Dr. Sebastien Demoiny discusses two cases: one involving a dowel peg technique for non-union fractures and the other involving a triple arthrodesis for a patient with neuropathy. He explains his surgical approach and the rationale behind his decisions. Dr. Demoiny also shares his thoughts on Charcot dislocation and the importance of addressing the medial column in these cases. The conversation concludes with a lighthearted discussion about their friendship and experiences in podiatry.