Introduction: Clubfoot or talipes equinovarus (TEV) is the most common and significant congenital orthopedic deformaties present in pediatric surgery. The incidence is 1:900 and about 5000 child born with clubfoot in Bangladesh per year. Etiology of clubfoot is not clear yet, most commonly idiopathic but there are many theories that favors both genetic and environmental factors are responsible. Other risk factor includes oligohydromnios, family history, first baby, male baby, twin pregnancy. Neglected clubfoot deformity leads to long-term disability for the children, limited socialization, limited opportunities to work and burden for a family in lower middle income country (LMIC). As talipes equinovarus is an obvious deformity, no specific investigation is required to diagnose although it can be diagnosed prenatally by high resulation ultrasonogram during second trimester of pregnancy. Ponseti method of treatment is considered gold standard for clubfoot deformity. Methods and Results: It is a retrospective study and sample was taken from Dhaka shishu (children) hospital, which is the largest dedicated children hospital in Bangladesh. Clubfoot child attend at surgery out patient department (SOPD) and manage at TEV clinic. The child with clubfoot assessed by surgeon and classified by Pirani score. All clubfoot patient below the age of three months included and who had arthogryposis multiplex congenita, spine deformity and had history of surgical intervention were excluded from this study. A total of 322 patient attened at TEV clinic from January’19 to December’19. Among them 93 patient were enrolled as new in this study year. Other patients were continuing their treatment and follow up. Among these new patients, male 55(59.14%) child were pre-dominant that is 1.69:1. Mean age was 23days. Bilateral involvement were 36(38.71%), Total 71 (76.34%) patients needed tenotomy. Most of the patients’ needs 6 to 7 serials of plaster (30.10 to 36.56%). Conclusion: Nonsurgical management of clubfoot patients has good outcome and less complications if they attend in health center early of age. Ponseti methods is effective and less chances of recurrence and reduce the need of surgical treatment. Effective awareness campaign and counseling of parents can show good compliance to treatment.