Endoscopic gastrocnemius release (EGR) is a recently developed procedure that is a reliable option for surgical management of ankle equinus contracture. Comfort with endoscopic equipment and surgical anatomy, especially the sural nerve, is of paramount importance for performing the procedure safely, effectively, and efficiently. The primary advantage of the procedure is improved cosmesis and decreased wound complications of the smaller surgical scars. The current body of literature of clinical outcomes for EGR consists of limited level IV case series with broad variations in study rigor, author training background, and the surgical technique itself.