This chapter presents the most frequent approaches in foot and ankle surgery based on a summarized session of surface anatomy with landmarks:​ anteroposterior view, posteroanterior view, lateral view, medial view;​ it is followed by an illustrated step-by-step description of ten extended incisions:​ anterolateral suprafibular approach, medial ankle approach, anterior ankle approach, posterolateral ankle approach, posteromedial ankle approach, midfoot approaches – dorsomedial approach, dorsal intermediate approach, dorsolateral approach, first metatarsophalangeal joint approach, dorsal intermetatarsal space approach, which include 15 different approaches.