Concern has been raised regarding the quality of foot and ankle research. Authors have eloquently highlighted inherent biases in study design, effects on data presentation, as well as statistical manipulation i.e. “P-hacking.” Some have even called for statistical significance to be moved from P <0.05 to P <0.005. Catch the biases if you can Continuing the critical appraisal of the data is the recently published “The Statistical Fragility of Operative vs. Nonoperative Manag