Rheumatoid foot and ankle reconstruction surgery comprises of an assortment of reconstructive surgeries to adjust harm brought on by rheumatoid joint pain of the foot and lower leg. Rheumatoid joint inflammation is a ceaseless sickness that assaults joints everywhere throughout the body, bringing on aggravation and crippling torment. The irritation can get to be severe to the point that it starts to misshape the appearance and capacity of the body parts it influences. Rheumatoid arthritis (RA) is a common chronic immunologic and debilitating disease affecting about 0.5–1% of the population worldwide.1 It is a systemic disorder involving mainly the peripheral synovial joints in a symmetrical fashion and leads to the progressive destruction of the involved joints. Rheumatoid arthritis is a disease that affects 0.3 percent to 1.5 percent of the general population. Foot deformities are a major source of pain and disability. The frequency and degree of problems are directly related to the disease duration (i.e., the longer the disease, the greater the deformity). A typical patient with rheumatoid forefoot disease may have components of hallux valgus (bunion deformity), metatarsalgia (pain over the ball of foot with loss of fat pad) and hammertoe deformities. There may be painful thick callous areas under the ball of the foot or on the tops of the toes.