Apart from traumas, lesser toe deformities consist the most common problems among the foot pathologies. Although it is supposed that orthopedic surgeons have a good knowledge on these, they are usually treated with conservative and surgical techniques with limited and narrow patterns. The most important cause of these deformities is false shoe wear. Thus, conservative treatment of these problems which are usually encountered in the late stage and need surgical treatment carry great importance, including correct shoe selection. Diagnosis carries much importance, since lesser toe deformities are usually erroneously named as hammer toe or callus and could be treated improperly. In this review, diagnosis and treatment of the common lesser toe deformities will be explained in the light of lately developed techniques.