Clubfoot is one of the most common congenital deformities. The Ponseti serial corrective cast management is an easy, effective and economical method of idiopathic club foot management. Pirani et al provide a simple scoring system based on six clinical signs of contracture. To know whethere Age at beginning of treatment  will predict the need of tenotomy and  result of CTEV.A total number of 100 feet in 64 patients  were studied prospectively in G.G.G.H.& M. P. Shah Govt. Medical College, Jamnagar during the period from July 2014 to July 2016 with only idiopathic clubfoot & treated with Ponseti technique and evaluated with help of PIRANI SCORE at each visit. Most of the patients started treatment at the age of 0–1 months and the youngest was of 1^st day of age.The early the age at beginning of treatment doesn’t exclude need for tenotomy.We have successful result 94.25% at early age of presentation.