In this episode, Mo and Marc are joined by special guest Sagar Desai (Foot and Ankle surgeon, Toronto, Canada) in a discussion on the increasing trend of Achilles tendon ruptures across various age groups and sports, with a focus on variables such as playing style, training volume, and shoe design as well as both operative and nonoperative treatment options. Subspecialties: • Foot and Ankle • Orthopaedic Essentials • Sports Medicine Keywords: Orthopaedics, orthopedics, JBJS, OE, NBA, basketball, pickleball, AAU, Tyrese Halliburton, Kevin Durant, Jason Tatum, minimally invasive surgery, social media, older athletes, younger athletes, middle-aged athletes, single-sport participation, tendon degeneration, tendon stress, false steps, volume of play, pace of play, pushing off, shoe design, biomechanics, preexisting disease, microtrauma, prevention, weekend warrior, load management, adequate rest, hydration, rehabilitation, flexibility, rerupture, surgical risks, return to sport, return to pre-injury level, high jump, surgeon volume, MIS, open surgery