Flat feet is a concern amongst many patients and our society has become accustomed to relying on supportive shoegear or orthotics for their “lack of arches”. What most don’t realize is that foot type can be more of a variance as opposed to an injury. Only severe case of flat feet needs attention such as orthotic support or surgical correction. Most juvenile flat feet that needs correction can be achieved with a simple surgical implant known as an arthroerisis. This device has been around for many years and is implanted into the lateral aspect of foot to realign the joint that is collapsed or dislocated leading to the flattened arch. It’s a a 30 minute procedure that is performed in an outpatient surgical setting. This procedure is not performed by itself in an adult deformity as one usually needs additionally surgical correction to achieve success.