‘Flat feet’ are a very common problem. Many people may have had this problem from a young age whilst others have only noticed it as they have gotten older. There are many causes for a flat foot and it may be that alterations in shoes and physiotherapy are all that is required to treat the underlying problem. However, there are many cases that won’t respond to these treatments and surgery may be required in these cases. Surgery for this condition is ‘a-la carte’ and patient-specific as there are multiple options available to a specialist foot and ankle surgeon. It is important to identify the underlying cause for the condition as this will guide towards an appropriate surgical plan.