Paediatric foot deformities are common and can have a significant impact on function and quality of life. They represent a diverse group of clinical presentations from benign normal variants to complex deformity. It is crucial to have a good understanding of this subject matter, as they present commonly and early diagnosis can often improve outcomes. There has been an evolution in the management foot deformities, with surgeons moving from large open procedures to less invasive and non-surgical procedures, such as serial casting. However, there remains a role for open surgery, particularly in complex, rigid and severe cases. Common deformities that affect the paediatric foot are discussed in terms of their aetiology, clinical presentation, diagnosis and management.