The surgery is most often done on an outpatient basis. That means that you go home the same day. During the surgery:
You are given medicine to help you relax and to prevent pain. You will likely be given general anesthesia. This puts you into a state like deep sleep during the procedure. You may also have a nerve block. This numbs the foot during the surgery and for a time afterward.
With open surgery: The doctor makes an incision over your heel. He or she moves the bones back into place. The doctor then places pins, wires, screws, and/or metal plates to hold the bone pieces together. He or she closes the skin incision with sutures. The fixation stays in place and is not generally removed.
With closed reduction (percutaneous fixation): The doctor moves the bone pieces back into place under the skin through small incisions. He or she inserts special screws or plates to hold the bone pieces together. The fixation stays in place and is not generally removed.
Your foot is put into a splint or cast. You will likely be told not to put weight on the foot for several weeks after the surgery.
Depending on the severity of the fracture, you may still have problems with walking after the bone has healed. Orthotics or other support may help.