Clubfoot is a case of complex defects affecting mostly newborns and children. Its management represents a great challenge especially in cases of severe resistant cases. Unfortunately, it did not receive the necessary attention in text-books and literature regarding its all aspects under one title. In this article, we aimed to highlight clubfoot focusing pathological anatomy of clubfoot and consequent management options. This might help physicians and surgeons in proper management. Clubfoot shows main anatomical defects including foot cavus, adduction, varus and equinus; the most prominent bony defect has been found in foot talus. Most cases respond to conservative reconstruction including the Ponseti method. However, some cases including those associated with other congenital anomalies are severe and resistant to such conservative management. These cases are suggested to be managed by talectomy that represents a salvage procedure to give a plantigrade foot.