This video shows a surgical technique for the application of an external fixator to the lower extremity. It discusses indications for the procedure, patient positioning in the OR, the superficial landmarks for drilling the tibial and calcaneal pins, and pearls on how to drill these pins. It then shows the authors preference for the sequence of tightening the clamps, outrigger posts and rods. It includes fluoro images of pin application and the reduction during the procedure. It also shows the author's preference for dressing application. Follow up XR show the patient's definitive fixation.