Selene Parekh, a faculty member at the Rothman Orthopaedic Institute specializing in midfoot arthrodesis, joins Nicholas Strasser, a foot and ankle surgeon at Vanderbilt, and Greg Kirwan, also from Rothman. They dive into the complexities of managing midfoot arthritis, debating the benefits of weight-bearing CT over traditional imaging. Topics like nonoperative management strategies, surgical options including fusions, and innovative techniques using nitinol plates take center stage. Their insights on postoperative care and biologics make for a fascinating discussion on optimizing outcomes.