Pediatric congenital clubfoot is a common pediatric orthopedic disease with a long history of treatment. In 400 BC, Hippocrates, the originator of Western medicine, proposed the use of manipulation to treat congenital clubfoot in children; in the 16th century, the “iron boot” therapy was used; in the 18th century, after the Industrial Revolution, the most primitive plaster was invented and a split-flap orthopedic appliance was adopted; in the 19th century, with the advancement of anesthesia, surgical methods were gradually used to treat children with clubfoot; after the 20th century, surgery became the mainstream method; however, as time passed, surgery became the mainstream method. In the 19th century, with the advancement of anesthesiology, surgical methods were gradually used to treat clubfoot in children; after the 20th century, surgical methods became the mainstream method; however, as time went by, the shortcomings of surgical methods gradually emerged, such as: postoperative foot weakness, lack of flexibility, etc.; after clinicians’ reflection, manipulative treatment came back, and the theory of manipulative treatment also tended to be perfected and scientific, and the efficacy was proved to be optimal. There are two representative methods: the Kite method and the Ponseti method. In particular, the Ponseti method is recognized and accepted by pediatric orthopedic surgeons worldwide, and it is being promoted worldwide, especially in third world countries, where it has proven to be simple, practical, and effective. The core of the Ponseti method is: early treatment, manipulation of the plate combined with plaster orthosis, subcutaneous severance of the Achilles tendon, and brace maintenance. Parents sometimes have some concerns about the cast treatment, such as: will the cast limit the development of the child’s foot? The cast is changed every 1-2 weeks at short intervals, and the short period of cast immobilization will not restrict the development of the child’s foot. Second, there are concerns about anesthesia. Plastering can be done under parental reassurance or under simple anesthesia. The goal is to keep the child quiet so that the doctor can easily place the cast and allow it to be shaped. At Beijing Children’s Hospital, the cast is applied under simple anesthesia, and inhalation anesthesia is used. The child is anesthetized quickly and wakes up quickly, so the process of applying the cast is very short. Inhalation anesthesia is a safe method of anesthesia in which the anesthetic is inhaled through the mouth and nose, and then expelled from the body through breathing. Manual therapy is a popular international treatment method, similar to the form of massage, but massage therapy must be combined with casting, it cannot replace the orthopedic and fixation of plaster. Massage is carried out before the cast, massage is about having the right technique, not just rubbing at random. As far as the current medical technology is concerned, massage combined with plastering is the preferred method for the treatment of congenital clubfoot in children.