Objective: To determine the efficacy of percutaneous needle tenotomy during ponseti technique in the management of congenital club foot deformity in children. Study design: Descriptive case series. Place and duration of study: Orthopaedic unit, Lady Reading Hospital, Peshawar17th August 2018 to 17th February 2019. Material and Methods: In this study a total of 139 patients were observed. All children were operated with aseptic precautions under short general anaesthesia. A 16/18 gauge needle chosen to cut the tendon, Thereafter, patients was followed up on a monthly basis and efficacy was evaluated aft er six months. Results: In this study mean age was 12 months with SD ± 7.31. 57% patients were male while 43% patients were female. 40% patients had bilateral foot while 60% patients had unilateral foot. More over percutaneous needle tenotomy was effective in 92% patients and was not effective in 8% patients. Conclusion: Our study concludes that percutaneous needle tenotomy is 92% effective during ponseti technique in the management of congenital club foot deformity in children. [ABSTRACT FROM AUTHOR]