Gout is a common inflammatory arthritic condition, commonly affecting the first metatarsophalangeal joint (MPJ) in the foot. As reported in literature, only 6.8% of patients with pedal gout have the interphalangeal joints affected. Surgical treatment of gouty tophi in the foot is at times necessary in addition to diet modification and oral medications. We report on 7 cases of gout affecting interphalangeal joints that necessitated surgical treatment. Six out of 7 of the patients had no complications after surgery, and no reoccurrence, with an average follow-up time of 26 months.