In this edition of Roundtable Discussion, we tackle a controversial subject. Pediatric flatfoot is a common problem that is encountered by foot and ankle specialists. Whether it be a referral from a pediatrician, parents’ concerns about a child’s visual flatfoot, or the child having pain, the assessment and treatment can vary. We have assembled an amazing group of surgeons with vast experience dealing with the pediatric flatfoot. The combined experience and thoughts from this panel should enlighten the reader as never before to this subject.