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Surgical correction of most congenital foot and ankle deformities requires soft tissue release of medial, posterior and lateral structures around the foot and ankle. Various incisions have been described in the past. Fifty three feet in 45 children were operated for various congenital foot and ankle problems, using a comprehensive transverse incision (the Cincinnati incision). The incision gave excellent exposure of the involved structures. Forty two of the 53 operations performed were extensive, single-stage soft tissue release procedures. Satisfactory results were seen in 75.4% cases. Deep wound problems were seen in 9.43% feet. Cosmetically the scars were acceptable and the children had no shoe wear problems.