Endoscopic plantar fasciotomy (EPF) is an efficacious, minimally invasive procedure for the surgical intervention of heel spur syndrome/plantar fasciitis. Because of the minimal trauma involved with the technique, patients are able to return to full activity much quicker than with traditional "open" heel spur surgery techniques. The EPF procedure is not difficult to perform but requires extreme precision to ensure a successful result and to avoid iatrogenic complications. The author strongly encourages proper training with cadaveric specimens before using this technique with patients to ensure the highest standard of care. As with all surgical techniques, there are inherent complications; these complications are usually biomechanical in nature and can be reduced greatly by proper surgical techniques.