I have the honor to write the welcome message for the 10th Mansoura International Foot and Ankle Course. As a part of the Mansoura Orthopaedic Department scientific program, we launched this course in 2009 as an annual course and it has been welcomed by all the participants along previous years. This year, our 10th course is planned by the Scientific Committee –the appreciated work of the chairman Mr. Thomas Smith and his colleagues - who have worked to introduce a program that will interest and challenge all participants. We have arranged Lectures, case discussion, workshops and exciting competitions during this year's MIFAC.