The aim of this study is to report an unusual combination of congenital idiopathic talipes equinovarus with preaxial polydactyly of the foot. A newborn infant was brought to the polyclinic at the age of 1 week. In the right foot, preaxial polydactyly was seen in addition to the club foot deformity. The preaxial polydactyly of the patient was surgically excised. The sutures were then removed and a series of plaster casts were applied according to the Ponseti method Then a Dennis-Brown brace was applied with both feet. This case shows that combination of congenital idiopathic talipes equinovarus with preaxial polydactyly of the foot can be treated succesfully by apply the standard Ponseti method after the surgical excision of the polydactyly.