Many tumor and tumor-like lesions may involve bone. Bone tumors in the foot are, however, very rare. An accurate diagnosis relies on a cooperative clinical and imaging effort. The patient's age, sex, history, clinical findings, and presentation, in addition to the radiographic features, allow for proper diagnosis. Specialized imaging techniques may be helpful in certain instances. Aside from a biopsy, the radiograph is clearly the most important single approach to the diagnosis of bone tumors affecting the foot.