Hindfoot arthrodesis is indicated to relieve pain from joint degeneration or from major hindfoot deformity. Although loss of motion from a fusion is concerning in any joint, in most cases the underlying disease has already resulted in significant restriction of motion. The goal of hindfoot arthrodesis is to convert a painful, possibly stiff and deformed extremity into a straight, stiff, and more comfortable one. The indications and considerations for hindfoot arthrodesis are reviewed in detail in this article, and the specific technique of arthrodesis is reviewed specifically.