The history of limb amputation is a narrative that intertwines medical advancements, cultural perceptions, and societal attitudes towards disability. While amputation as a medical procedure dates back to ancient times of war and disease, the evolution of below-knee amputation is closely linked to the development of surgical techniques and prosthetic technologies. Ancient civilizations, such as Egypt and Greece, practiced amputation as a means of treating various ailments, often resorting to rudimentary tools and methods. The industrial revolution spurred advancements in prosthetic devices, with below-knee prosthetics becoming more functional and accessible. The World Wars were pivotal in accelerating prosthetic technology, as the demand for effective limb replacements to facilitate a return to society surged among injured soldiers. Post-war, innovations like lightweight materials and joint mechanisms continued to enhance the functionality and comfort of below-knee prosthetics. The history of below-knee amputation reflects not only medical progress but also a societal shift towards inclusivity and empowerment for individuals with limb differences.