Ankle replacement surgery is a specialized procedure performed when conservative treatments such as medications, physiotherapy, or injections fail to control symptoms. The ankle joint plays a crucial role in weight-bearing and movement, making its damage significantly impactful on daily life. Conditions such as osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, and previous fractures can lead to progressive joint deterioration. During surgery, the surgeon carefully removes damaged cartilage and bone, and implants prosthetic components that mimic natural joint motion. Unlike ankle fusion, which limits movement, ankle replacement preserves joint flexibility and provides a more natural gait. The procedure typically takes one to two hours and is performed under regional or general anesthesia. With modern implant designs and surgical precision, ankle replacement offers reliable outcomes with improved mobility, reduced pain, and enhanced quality of life.