Background: Tarsal tunnel syndrome is a relatively rare disorder .the physicians need to be cognizant of this problem in complex, vague foot complaints.Material and. Methods: Five cases with tarsal tunnel syndrome underwent surgical decompression during a three year period (1998-2001). These cases had all failed the conservative treatment-including local steroid injection. The 4 females and one male consisted of one case of rheumatoid disease one post ankle-fracture adhesion and three cases with unknown etiology.Results: Four patients had complete relief of their symptoms and were satisfied with the, surgical outcome. One patient had some improvement, but not a full recovery from all the symptoms.Conclusion: Surgical release of compressing fibrous sheath for tarsal tunnel syndrome is a good alternative for cases who do not respond to non-surgical treatment. The results are, however, variable and not always predictable.