Ankle replacement surgery, or total ankle arthroplasty, involves replacing a worn-out or damaged ankle joint with an artificial implant to alleviate pain and preserve joint movement. Preparation: Prior to surgery, patients typically undergo a pre-operative assessment to evaluate their overall health and suitability for the procedure. It's essential to discuss current medications with healthcare providers, as some may need adjustment before surgery. Patients are advised to arrange for assistance at home during the initial recovery period, as mobility will be limited. Procedure: Performed under general anaesthesia, the surgeon makes an incision over the front of the ankle to access the joint. The damaged joint surfaces are removed and replaced with metal components, separated by a piece of hard plastic that allows smooth movement. The operation typically takes between 60 and 90 minutes. Recovery: After surgery, the ankle is usually placed in a plaster cast or brace to immobilize the joint and aid healing. Patients are advised to keep the foot elevated to reduce swelling and may need to avoid putting weight on the operated foot for a specified period, often around two weeks. Follow-up appointments are essential to monitor healing, remove stitches, and transition to weight-bearing activities as guided by a physiotherapist. Full recovery varies but generally takes several months, during which adherence to rehabilitation exercises is crucial for optimal outcomes.