Patient-reported outcome measures (PROMs) enable healthcare professionals to monitor their patient's physical, mental, and social health status. In this commentary, we provide an overview and a table summarizing the PROMs currently being implemented in foot and ankle surgery, along with their individual advantages and disadvantages. We also discuss barriers to meaningful implementation and the proven strategies to overcome those barriers. Even though research has demonstrated the positive role that PROMs can play in patient care, currently, only one-third of orthopedic clinics use PROMs at all. Further, <10% of orthopedic surgeons themselves utilize them in their everyday practice. We believe that for many providers, the reason behind their lack of acceptance of PROMs is because of a gap in knowledge about the many benefits of doing so. For some, PROMs may also be perceived as an additional requirement to insurance and hospital protocols, thus creating another barrier to implementation. In order to overcome these impediments, we suggest that the role of PROMs be thoroughly researched and the merits of incorporating its use into everyday clinical practice be communicated to researchers, physicians, and policymakers across the discipline. In addition, it is essential that the opinions of surgeons and patients be taken into consideration and healthy dialogue is undertaken before PROMs are introduced on a large scale. In summary, we hope our manuscript gives orthopedic surgeons, researchers, and administrators interested in PROMs a comprehensive look at where we currently are with PROMs and the directions that future research can take.