Ankle slimming microsuction, or “cankle” surgery, is a procedure very much appreciated by patients. It is performed under sedation and local, requires a tiny incision on each side of the ankle, and facilitates slimming and reshaping ankles. The results of this minimally invasive surgery can be dramatic and transforming, depending on various anatomical considerations. In virtually all cases a significant improvement can be achieved. Down time is short and the procedure is very well tolerated.