Pigeon toes (intoeing) is a condition in which the feet point inward when walking. It is commonly seen in children and may resolve in very early childhood with no treatment or intervention. The child should be examined by a foot and ankle surgeon if the intoeing causes significant tripping, difficulty with normal activity, pain, difficulty with shoes, or is not resolved in early childhood. Some causes of intoeing are tight muscle groups that may respond to stretching or therapy and rotational deformities in the legs that may improve with age. There may be structural problems causing the intoeing, which require treatment by a foot and ankle surgeon. Treatment may include stretching or therapy, custom orthotics and sometimes surgery.