In the previous editorial, Wang et al. [1] discussed the potential application value of open artificial intelligence in foot and ankle surgery research. This time, I would like to focus on systematic reviews and meta-analyses, which are frequently published in the Journal of Foot and Ankle Surgery. Due to its paucity of data relative to other disciplines, foot and ankle research has long relied on systematic reviews and meta-analyses, which combine small-sample studies to synthesize evidence and guide clinical practice in our profession.