In this episode, Dr. Jeff Dikis and Dr. Leland Jaffe discuss financial and contract discussions in the podiatry field. They highlight the importance of financial literacy and understanding salary and contracts. They also provide insights into negotiating salaries and contracts, as well as leveraging job offers. The conversation emphasizes the need for physicians to take control of their finances and consider ancillary income opportunities. They cover various topics related to boosting salary and managing finances in the medical field. It discusses investing in surgery centers, the risks and benefits of surgery center ownership, leveraging mid-level providers, the impact of training and fellowship on salary, repaying student loans, and high-income investing. The conversation concludes with a debate on the pros and cons of MPJ fusion versus implants. In this episode, Dr. Jeff Dikis and Dr. Leland Jaffe discuss the biomechanical sequelae of joint fusion and the distinction between essential and non-essential joints. They explore the considerations for first metatarsophalangeal joint (MPJ) fusion and the potential use of implants as an alternative. The conversation also covers the conversion to fusion, procedure selection based on patient factors, and the importance of managing patient expectations. Two case presentations highlight the decision-making process for painful first MPJ and degenerative joint disease. The episode concludes with a discussion on the value of seeking second opinions.