Summary:The joints of the midfoot form a stable transverse and longitudinal arch but allow the forefoot to adapt to irregular surfaces upon stance and pushoff. The midfoot is affected by arthritis, fractures and dislocations, and subsequent deformity. Midfoot fusion is performed when conservative treatment fails to relieve pain or accommodate deformity. Preoperative workup prior to fusion may include examination, selective cortisone injections, x-rays, special stress x-rays, and computerized tomography (CT). In this fashion, the midfoot joints specifically requiring fusion are determined. Most fusions performed to relieve arthritis are resurfacing or “in situ” fusions. When gross deformity such as pes planus or cavovarus deformity exists, a midfoot wedge osteotomy with midfoot fusion is performed. There are many fixation devices for midfoot fusion: K-wire, Steinmann pins, screws, and plates. The author's preferred method of midfoot fusion using a mini condylar blade plate and mini Tplate is presented