Objective: To find out the factors affecting the management of diabetic foot in our population. Study Design: Case series. Setting & Duration: Department of Surgery, Baqai Medical University and Korangi Surgical Clinic, Karachi from May 2006 to May 2008. Methodology: A total of 112 patients of all age groups who were diagnosed as diabetics and managed were included in the study. Final group comprised of one hundred patients in this study. Detailed history of diabetes and diabetic foot ulceration were recorded and careful clinical examination including protective sensation and vascular assessment. Treatment policy divided into patient education program and intensive surgical management of diabetic foot. Results: Amongst the total 100 patients, 76 were male and 24 were female. Average duration of diabetes was 10 years. 39% healed completely, 27% had minor amputations, 10% had major amputation, 22% disappeared from treatment, 2% died, 9% had new problem, 7% needed further surgery. Conclusion: Awarness about foot care in diabetics is lacking and education is needed in this area.