In this segment of the conversation, Jeff Dikis and Jake Wynes delve into various surgical techniques and considerations in foot and ankle surgery. They discuss the nuances of managing cavus deformities, the importance of soft tissue in surgical outcomes, and the intricacies of fibular onlay techniques. The conversation also touches on the challenges posed by radiological interpretations, the role of tendon transfers in pediatric cases, and the management of subtalar joint instability. Throughout, they emphasize the need for a comprehensive understanding of both anatomical and functional aspects of foot surgery. In this conversation, we delve into advanced techniques in ankle surgery, focusing on innovations in lateral ankle reconstruction, subtalar joint instability, and the significance of the spring ligament. They share personal experiences, discuss the effectiveness of various surgical methods, and emphasize the importance of understanding the anatomy and biomechanics of the ankle to improve patient outcomes. The dialogue highlights the evolving nature of orthopedic practices and the need for continuous learning and adaptation in surgical techniques.takeaways