Arthroscopy of the ankle and foot is one of the more innovative forms of arthroscopic surgery of the human body. In its infancy, it was a more direct, but awkward diagnostic tool. It has become a mainstay in the field of foot and ankle surgery, and it continues to progress on an ongoing basis. Arthroscopic ankle fusions are becoming more commonplace and we are now able reduce fractures with less invasive techniques using arthroscopy. Similarly, arthroscopy of the foot is now becoming more established. Surgeons are routinely performing arthroscopic procedures of the subtalar and the first metatarsal phalangeal joints. The continued improvements of the medical equipment, along with the advancement in techniques and education in our profession, will lead to further development of this field of surgery.