Despite significant advances, implants in podiatric reconstruction remains a controversial topic among surgeons. Several factors can contribute to the success or failure of a surgical procedure. This edition of Clinics in Podiatric Medicine and Surgery highlights both the strengths and weaknesses of implants in the foot and ankle. Dr. Jesse Burks is a Fellow of the American College of Foot and Ankle Surgeons, and is board-certified in foot and ankle surgery. Dr. Burks practices in Little Rock, Arkansas.