Over the past 40 years, podiatry has seen a shift from hospital-based surgeries to in-office procedures due to challenges in obtaining hospital privileges. Though in-office surgery might seem unconventional to younger podiatrists, advancements in technology have made it practical and cost-effective. In-office surgery reduces costs, saves time, and offers convenience for patients with minimally invasive procedures. With local anesthesia and modern techniques, complications are minimal and recovery is faster. It’s an excellent option for many podiatric procedures, though hospital surgeries remain necessary for complex cases.