Heel pain including plantar fascitis is a disabling condition, which at times may be difficult to treat. The majority of patients with heel pain usually respond to conservative management. Surgery is reserved if this fails. Surgical procedures described for heel pain, include plantar fasciectomy, orthotripsy, heel spur excision, and endoscopic fascial release. Recent literature has discussed the association of gastrocnemius contracture with foot and ankle disorders, including heel pain. Successful results have been reported with the use of gastrocnemius recession in management of these conditions. This study will discuss the procedure of gastrocnemius recession and its role in managing heel pain.