Talipes equinovarus (TEV) is a congenital disorder affecting a large portion of the global population leading to decreased quality of life, disability, and mobility limitations. TEV is characterized by deformities of the foot, including cavus midfoot arch, adduction of the forefoot, hindfoot varus, and equinus. It is estimated to have an overall incidence of 1-2 in 1000 live births. Left untreated, TEV will persist into adulthood, causing loss of mobility and decreased quality of life. Currently, no known cause exists for TEV, though multiple genetic associations have been found. TEV has an increased risk associated with a family history of TEV and maternal smoking. However, studies have not shown associations with TEV and oligohydramnios, the season of birth, parental age, or parity. Typical management of TEV is non-operative and utilizes serial manipulation, casting, and bracing following the Ponseti method. For cases unresponsive to non-surgical methods, a variety of surgical approaches may be used to address TEV.