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1. The results of 111 operative procedures of various types for flat-foot, which were performed on fifty-three children, eight. to fifteen years of age, are reviewed.2. In no case should an arthrodesing operation for flat-foot ever be done for cosmetic reasons only.3. These procedures should be reserved for the relief of disabling pain and then only after exhausting every means of conservative therapy.4. Time surgeon, the patient, and the parents must be willing to exchange a loss of inversion and eversion for the relief of pain and disability.5. Through trial and error, we have found that, altihough the earlier procedure of arthrodesing the talonavicular and naviculo-cuneiform joints was fairly satisfactory, arthrodesing operations for relieving painful flat-foot in children are most. successful when the subtalar joint is included.