When a deformity of the hindfoot advances to the point where it begins to affect the alignment of the ankle, it becomes a particularly challenging problem to correct. Nonoperative options are limited and should be reserved for patients who have comorbidities prohibiting surgical attention. The associated deformities must first be corrected to protect the ankle realignment procedure. The goals of treatment are to maximise flexibility and produce a painless and plantigrade foot without the need for supplementary bracing.