In this engaging conversation, Dr. Jeff Dikis interviews Dr. Patrick DeHeer, a prominent figure in podiatry and the future president of the APMA. They discuss the charm of Indianapolis, the vital role of the APMA in advocating for the profession, and the importance of legislative victories in protecting podiatry. Dr. DeHeer shares insights into his responsibilities as a residency director, the challenges of teaching surgery, and the qualities he values in residents. The conversation also touches on the unique challenges of pediatric podiatry and innovative treatment approaches for conditions like club foot. Patrick DeHeer, DPM discusses various aspects of foot surgery, particularly focusing on pediatric treatment approaches, innovations like the equinus brace, and the significance of first MPJ fusion. He shares insights from his extensive experience, including case studies that highlight the challenges and solutions in MPJ surgeries, emphasizing the importance of patient satisfaction and surgical predictability. They discuss innovative surgical techniques for treating non-unions and complex flat foot cases. He shares insights on the use of teriparatide for bone activity, the challenges faced in various surgical procedures, and the importance of accurate diagnosis and treatment planning. The discussion highlights the intricacies of managing difficult cases, including the implications of previous surgeries and the need for robust fixation methods.