Idiopathic clubfoot affects approximately 50,000 children each year and is one of the leading causes of disability in India. The aim of the study was to investigate barriers encountered by parents of clubfoot children in desert area of India. Unfortunately, the Ponseti technique is very slowly picking up in our country in spite of its ease of usage and compatible results Material and Method: In this prospective study of 215 patients enrolled from July 2014 to Dec 2016 In our study total 37 (17.2%) parents encountered obstacles and discontinued the treatment. The most frequent obstacles in our study were Parents related (45.95%), poor transportation and distance to treatment centers (40.54%), and Caregivers related (13. 5%).Lack of education and poor transportation services and distance from treatment centers had more obstacles for patient In India there are several patients and distance related factors in desert area influencing the outcome. There is lack of awareness programs in media (TV/ newspaper), schools, colleges and in public meetings. Poor transportation in Remote, hard desert areas producing hurdle for weekly serial casting and regular follow up