Congenital Talipus Equinovarus (CTEV) or club foot is that the commonest congenital pathological condition could be a descriptive term. Frequency is around one to two cases for every thousand live births1. Club foot is a complex deformity of 4 components: Fore–foot adduction, Hind–foot varus, Hind–foot equinus and cavus. The treatment goal of club foot is to decrease its 4 components of deformity in order to give patient a functional, pain–less range of movements, plantigrade foot with good functional mobility and without calluses and avoidance of need for modified shoes. Non–operative treatment consisted of manipulation of deformity, stretching of surrounding muscles & corrective casts. Operative techniques vary according to the persistent or residual deformity and wide ranging. Early treatment of idiopathic club foot by Ponseti technique results in good correction of the deformity with reduction of surgery. Percutaneous tenotomy of Achilles tendon was required in considerable number of cases to achieve good correction.