A, Hemostat used to dilate crural fascia from medial portal. B, Clear cannula and trocar introduced while ankle held in dorsiflexion. C, A 30-degree 4-mm arthroscopic introduced from medial portal. D, Cannula inserted dorsal to crural fascia. E, Plane finder used to dissect between gastrocnemius tendon and crural fascia. F, Release of gastrocnemius tendon from midline laterally. G, Soleus muscle shown from lateral portal after completion of gastrocnemius recession. H, Ankle dorsiflexion improved to 15 degrees from 5 degrees of equinus preoperatively. (From Phisitkul P, Barg A, Amendola A: Endoscopic recession of gastrocnemius tendon, Foot Ankle Int 38:4567, 2017.) SEE TECHNIQUE 50.6.