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Figure 1　The table is a list of target disease of Juntendo University Hospital Podiatry Center. The disease are seen by a doctor specialized in the field listed in the table.Presently, it is reported that one foot is ampu-tated every 30 seconds around the world2). Although, medical care for feet in Japan is lagging behind that in Europe and the United States, the Japanese government announced that “prevention of diseases centered on lifestyle-related diseases including cancer” as “Honebuto no Hoshin 2015” which includes medical care for lower limb relief. As a result of the 2016 revision of health and medical service fees, the “additional guidance for peripheral arterial disease in the lower extremities for dialysis patients” was recognized. This was implemented by providing foot care to patients undergoing dialysis and intro-ducing these patients with low blood flow to a medical institution that has a specialized treatment system. Feet are essential in order to maintain mobility (walking), and they need protection to extend an individual’s healthy life expectancy2). In the future, as Japan heads toward a super-aging society, establishing a specialized center for foot diseases that can provide appropriate knowledge and advanced technology is needed in order to enhance foot medical care. Therefore, the Podiatry Center was established in Juntendo University Hospital, Japan’s first university hospital.How do we operate Podiatry Medicine in JapanThe “Foot Disease Center” provides medical care for diseases handled by American podiatrists (Figure 1). The Podiatry Center brings together 97Current status of foot disease treatment abroad and in JapanIn Japan, depending on the disease, various clin-ical departments such as plastic surgery, orthope-dics, surgery, vascular surgery, cardiovascular medicine, and dermatology provide medical care for patients with a foot disease. However, if team-based and cross-sectional medical care is not provided, it may be difficult to deal with each non-specialized disease. Furthermore, in Japan, many patients ignore foot symptoms despite feeling pain because they do not know which department to visit when the cause is unknown. As society continues to age, maintaining mobility (walking) is one of the most important issues in order to extend healthy life expectancy. We believe that the estab-lishment of a specialized medical care system for foot diseases that enables medical care with appro-priate knowledge and technology is indispensable for the future society of Japan.Establishing of the Podiatry Center at Juntendo University HospitalIn Japan, other hospitals and university hospitals often treat patients with foot disease in multiple clinical departments (e.g., plastic surgery, derma-tology, orthopedics, cardiology, and vascular surgery) under terms such as “foot care outpatient,” “refrac-tory ulcer outpatient,” and “wound care center.”