In this episode of Pod Patrol, Dr. Jeff Dikis hosts Dr. Hartley Miltchin, (@Bunion King on Instagram), to explore the world of foot and ankle surgery with a focus on minimally invasive surgery (MIS). Dr. Miltchin shares his extensive experience and insights into the evolution of MIS, the differences between Canadian and American healthcare systems, and the benefits of operating a cash-pay practice. The discussion covers technical aspects of MIS, patient care, and the future of podiatric surgery.Dr. Miltchin emphasizes the importance of hands-on training in cadaver labs and highlights the resurgence of MIS among podiatrists and orthopedic surgeons. He discusses his techniques for realigning deformities without metal fixation, allowing for quick recovery and less reliance on narcotics. The episode provides valuable insights into patient education, the challenges of healthcare systems, and the promising future of less invasive surgical techniques in podiatry.