This article presented a brief review of medial column stabilizing procedures. The various types of procedures that have been advocated for different deformities have been discussed. It is important to keep in mind that fusion of any of the medial column joints should not be performed as an isolated procedure in flexible flatfoot deformity. Medial column stabilization is only a component procedure when surgically managing a flexible flatfoot. When choosing procedures to correct a flexible flatfoot, thorough preoperative evaluation is important. It is also important to realize that conservative measures should be exhausted before attempting any type of stabilization of the medial column for flexible flatfoot deformity. Specific criteria for flexible flatfoot surgery should include severe uncontrollable deformity, an inability to wear standard foot gear, and persistent pain and disability despite exhaustive conservative therapy. A medial column stabilization is also an excellent procedure for those patients who have end-stage degenerative joint disease of the medial longitudinal arch.