Rugby union is a popular contact team sport. It is played by 6.6 million players in 120 countries [1]. It can result in various injuries to players with the resultant loss of training and playing time. This chapter provides an evidenced based approach to the commonest foot and ankle injuries in rugby from the perspective of a sports physician. This chapter covers the injury mechanism, on field treatment, detailed assessment and definitive treatment, and evidence for preventive strategies are outlined. Treatment and rehabilitation with a view of early return to function are discussed.