In this conversation, Dr. Jeff Dikis interviews Dr. Andrew Belis, fellowship director at the Orthopedic Center of Florida based in Fort Myers, Florida. They discuss Dr. Belis's background, the differences between private practice and orthopedic group dynamics, and the establishment of a fellowship program. Dr. Belis shares insights into his weekly routine, the role of state associations in podiatry. The discussion highlights the importance of collaboration, mentorship, and adapting to patient needs in orthopedic care. They discuss complex ankle fractures, surgical techniques for ankle fusion, and the management of post-operative care. They explore the nuances of arthroscopic procedures, the importance of alignment during surgery, and the challenges of treating osteochondral lesions in young athletes. The discussion also covers rehabilitation protocols, long-term outcomes, and the evolving approaches to joint repair and recovery.