#### Summary points The standard treatment of clubfoot has changed greatly in the past 10 years. Previously, extensive surgery was common in children born with this condition. The publication of long term evidence of good outcomes with more minimally invasive methods, such as the Ponseti technique, has led surgeons worldwide to change their approach. Ponseti treatment consists of sequential plasters and prolonged bracing, with minor surgical procedures. This clinical review describes clubfoot and its current management. It is particularly aimed at general readers who are non-specialists but may be involved in the care of patients with this condition. The evidence underpinning this review is largely observational. Although the Ponseti method was first described over 30 years ago, it is only since the publication of long term outcomes of case series that it has been widely adopted. #### Sources and selection criteria No Cochrane reviews or other systematic reviews are available on the treatment of clubfoot. We searched PubMed for English language peer reviewed articles on clubfoot using search terms that included “clubfoot”, “Ponseti”, “surgical release clubfoot”, and “external fixator clubfoot”. We also used standard texts on the management of clubfoot. Clubfoot, also known as congenital talipes equinovarus, is a developmental deformity of the foot. It is one of the most common birth deformities with an incidence of 1.2 per 1000 live births each year in the white population.1 Clubfoot is twice as common in boys and is bilateral in …