Nineteen clinicians with a special interest in Charcot-Marie-Tooth disease (CMT) (5 adult and 2 paediatric neurologists, 9 orthopaedic surgeons, 2 therapists, 1 specialist in rehabilitation medicine) and three patient representatives from 8 countries (UK, Italy, Netherlands, Belgium, Germany, Sweden, US and Australia) gathered for the 221st ENMC International workshop on foot surgery in Charcot-Marie-Tooth (CMT) disease on 10–12 June 2016 in Naarden, The Netherlands. Foot surgery is often performed in patients with CMT as foot deformities are frequent complications of this disease. Several procedures have been described to correct severe foot deformities in CMT and surgical approaches appear to vary between centres in the same country and between different countries. The aims of the workshop were to review the current surgical approaches, to agree on some basic principles and recommendations for foot surgery in CMT patients (adults and children) and to identify areas for further research.