Twenty-nine patients with 39 tarsal coalitions were evaluated 1–10 years (average 3 years) after surgical treatment. Calcaneonavicular coalitions without secondary radiologic tarsal changes were scored as excellent or good results after excision and muscle interposition. Patients with secondary changes had slower rehabilitation, a higher recurrence rate, and a less favorable end result. Excision of talocalcaneal coalitions can provide good results, although, they are less predictable than calcaneonavicular coalitions. Most patients with a talocalcaneal coalition treated by excision and arthroeresis with a sinus tarsi spacer showed unsatisfactory early results because of severe tarsal pain. Long-term results after removal of the painful spacers were slightly better than those of patients not treated with spacers.