In this conversation, Dr. Michael Theodoulou shares his journey in podiatry, discussing his residency experience, the unique patient population he serves, and his passion for complex limb salvage and deformity correction. He delves into the principles of osteogenesis and angiogenesis, highlighting the innovative tibial cortex transverse transport technique and its regenerative potential. The discussion emphasizes the importance of demonstrating expertise in the field and the evolution of minimally invasive techniques in surgery. He shares insights on the protocols, challenges faced in limb preservation, and the importance of patient selection and buy-in for successful outcomes. The discussion also highlights the evolving understanding of the body's healing capabilities and the future directions in limb preservation techniques.