In this conversation, Dr. Edgardo Rodriguez discusses his role as the associate director and fellowship director at St. Joseph Hospital in Chicago, focusing on deformity correction and microsurgery. He shares insights into the competitive nature of fellowship applications, the importance of comprehensive patient evaluations, and the challenges of treating nerve pain and conditions like neuromas. Dr. Rodriguez also delves into innovative techniques for managing phantom pain post-amputation and the significance of thorough training for residents and fellows in the field. This conversation delves into complex cases in podiatric surgery, focusing on an adolescent patient with a foot injury and the innovative techniques in amputation and reconstruction. The discussion highlights the importance of understanding biomechanics, the impact of surgical interventions, and the future of podiatric medicine, emphasizing advancements in surgical techniques and patient outcomes.