Freiberg's disease is a relatively rare condition with a multifactorial cause in which trauma and circulation must play a major but not solitary role. Once the condition presents itself, early treatment is geared toward reducing its symptoms and preventing progression. If conservative measures fail, many surgical options are available. One of these, the dorsiflexion osteotomy of the metatarsal head is presented as a logical procedure that is simple, reliable, not destructive, and capable of good results regardless of the stage of the disease.