I am glad to see that more and more doctors in China are adopting the Ponseti method for the conservative treatment of congenital clubfoot. However, in my clinical practice, I found that there are still a lot of children who are treated with the Ponseti method but still have unsatisfactory results, the main reason is that the Ponseti method has not been well mastered. This does not fit the title of this article. In my experience and that of other doctors, patients treated with the Ponseti Method still have a high recurrence rate of about 10-30%. The main reason for this is that the parents do not follow the Ponseti Method to the letter. I always tell the parents that the doctor’s efforts to completely correct the clubfoot deformity are only a small part of the treatment, and that a great deal of the work is to prevent recurrence, which needs to be done by the parents. The Ponseti method calls for wearing a foot abduction brace immediately after the last cast is removed, with the affected foot abducted at 60-70 degrees and the healthy foot abducted at 40-45 degrees. The brace should be worn for no less than 23 hours per day for the first 3 months (I recommend that the parents give the child half an hour per day to wash and move his/her feet), and then gradually reduce the time spent in the brace by 1-2 hours per week, and then no longer when the time is reduced to 16 hours, which is the time spent in the brace at night and during the midday bedtime. This will continue until the age of 4-5 years. In the process of wearing the brace, I usually do a review at the 3rd month and then at the time of changing the brace to observe the effect of the treatment and whether there is any recurrence. Also, if there are problems you can always be reviewed. If you are able to do this, the recurrence rate is only about 6%. Otherwise, the recurrence rate can be as high as 80% if the brace is not worn as required. The most common cause of recurrence of foot deformity is not wearing the abduction brace long enough. Many parents do not recognize the importance of wearing the brace, and just think that the deformity has been corrected well and do not wear the brace for 16 hours a day as required. When the child is older, wearing the brace will affect the child’s rolling over during sleep, so many parents compromised with the child, and as a result, the time spent wearing the brace is often less than 10 hours, or even simply do not wear the brace, these are very wrong! For some older children, if you can’t stick to wearing the brace for 16 hours a day, you can’t wear it for less than 14 hours a day. Secondly, the angle of abduction of the affected foot is not enough. Some of the brace angle of foot abduction can be adjusted, so that it is convenient to adjust the angle of foot abduction, but many parents of the child due to the angle of foot abduction is how much do not understand, the result of the angle of the foot abduction is lost also did not find in a timely manner, and over time can also cause recurrence. Once parents find that their child’s foot deformity has recurred, they should find an experienced doctor as soon as possible. For small children, manipulation and plaster treatment can be continued. For children between 4 and 6 years of age, surgical treatment with externalization of the anterior tibialis muscle is indicated, and the deformity must be adequately corrected by manipulation and casting prior to surgery.