The foot and ankle is comprised of an array of joints, ligaments and tendons that act to propel the body forward during ambulation while providing a stable weight bearing surface. While the complex relationship between these bones and soft tissue structures can be challenging, the examiner can obtain valuable diagnostic information from a systemic examination of the foot and ankle. All foot and ankle examinations should include a thorough inspection, gait observation, range of motion and neurovascular examination. Specialized tests can further aid the examiner in making the correct clinical diagnosis.