A multidisciplinary decision

Treatment pathway
Diabetic Foot Surgery
Surgical assessment and planning for selected diabetic foot problems where a procedure may be clinically appropriate.
Infection, gangrene, deep wounds, exposed tissue or a rapidly changing diabetic foot can require urgent medical assessment.
Treatment overview
Care is shaped around the person, the diagnosis and the goal.
Surgical assessment and planning for selected diabetic foot problems where a procedure may be clinically appropriate. Surgery may be considered for selected problems such as infected tissue, non-viable tissue, bone involvement or structural pressure that cannot be managed conservatively. The decision follows a full assessment of wound status, circulation, infection risk and overall health.

Treatment context
Who may benefit
A clear assessment helps identify the right pathway.
Infection, gangrene, deep wounds, exposed tissue or a rapidly changing diabetic foot can require urgent medical assessment.
01When surgery may be considered
02A multidisciplinary decision
How the pathway works
Understand the care before it begins.
Surgery may be considered for selected problems such as infected tissue, non-viable tissue, bone involvement or structural pressure that cannot be managed conservatively. The decision follows a full assessment of wound status, circulation, infection risk and overall health.
What to expect
Treatment is reviewed as needs change.
Assess
The safest pathway may involve wound care, medical optimisation, imaging, vascular input or referral as well as surgery. Your clinician will discuss the indication, alternatives, risks and aftercare before any procedure.
Plan
The clinician explains the next step in the context of your findings.
Provide care
The clinician explains the next step in the context of your findings.
Follow up
The clinician explains the next step in the context of your findings.
Treatment modules
Practical care, explained clearly.
A multidisciplinary decision: The safest pathway may involve wound care, medical optimisation, imaging, vascular input or referral as well as surgery. Your clinician will discuss the indication, alternatives, risks and aftercare before any procedure.
Protect your feet between reviews.
Keep changes protected, avoid unadvised self-treatment and seek advice if symptoms worsen or do not improve.
The next step should be clear.
A timely assessment helps match care to the diagnosis, risk and practical needs of the person.
Common questions
When should I seek medical advice?+
A new wound, spreading redness, swelling, discharge, odour, colour change, or a hot, cold or painful foot should be assessed promptly. If you feel very unwell, seek urgent or emergency care.
How is the right pathway chosen?+
A clinician considers the diagnosis, symptoms, skin or wound, sensation, circulation, pressure, footwear, medical history and your goals before recommending next steps.
What should I bring to an appointment?+
Bring recent reports, a medication list, details or photographs of changes over time and your usual footwear when relevant.
Continue the care journey
The right next step depends on the clinical picture.
Explore the related pathways that may be discussed after assessment.
Make an appointment
Find the right next step for diabetic foot surgery.
Our team can help you understand what needs assessment and what information to bring. Diagnosis and treatment depend on an in-person review.

Dr. A. Nirupan Chakkaravarthy
Consultant Podiatrist · Limb Salvage Specialist
This guide is for general education and does not replace an in-person assessment.


