Achilles tendon repair is a surgical procedure performed to restore function after a torn or ruptured Achilles tendon, the large tendon that connects the calf muscles to the heel and enables walking, running, and jumping. Surgery is most often recommended for complete ruptures and, in select cases, for chronic degeneration or severe tendinopathy that has not improved with nonsurgical treatment. Before surgery, patients undergo a clinical evaluation and imaging studies such as ultrasound or MRI to confirm the extent of tendon damage. Preparation includes reviewing medications, stopping blood thinners if needed, quitting smoking to improve healing, and planning for limited mobility after surgery. Patients are typically instructed not to eat or drink after midnight before the procedure and to arrange transportation home. The surgery is performed under general or spinal anesthesia. Depending on the injury and surgeon preference, the tendon may be repaired using an open approach, a mini-open technique, or a minimally invasive method with several small incisions. During the procedure, damaged tendon tissue is removed, and the torn ends are stitched back together using strong sutures. In more severe cases, the repair may be reinforced with a tendon graft or reattached to the heel bone. Once repaired, the incision is closed, and the foot is immobilized in a splint, cast, or boot, often positioned with the foot pointed downward to reduce tension on the tendon. After surgery, patients are monitored briefly and usually go home the same day. The ankle remains immobilized for several weeks, and crutches are commonly used to avoid placing weight on the leg. Pain, swelling, and stiffness are expected early in recovery and are managed with medication and elevation. Stitches are typically removed about 10 days after surgery, and immobilization may transition from a splint to a cast or removable boot. Rehabilitation is a critical part of recovery. Physical therapy begins in stages, starting with protected motion and gradually progressing to strengthening, balance, and functional exercises. Weight-bearing is introduced gradually under medical guidance. Full recovery varies but often takes several months, with the goal of restoring strength, flexibility, and normal function while minimizing the risk of re-rupture or complications.