Talar osteochondral lesions (OCLs) represent a significant clinical challenge due to their location in a weight-bearing joint with limited intrinsic healing capacity. Traditional management strategies have yielded inconsistent results, underscoring the need for refined approaches tailored to lesion characteristics and patient-specific factors. This abstract outlines evolving perspectives on talar OCL management, highlighting advancements in diagnosis, surgical techniques, and rehabilitation protocols. Improved diagnostic modalities, such as high-resolution MRI with advanced sequences, play a crucial role in accurately characterizing lesion size, location, and morphology, guiding treatment decisions. This precise assessment allows for a more individualized approach, moving away from a "one size-fits-all" strategy. Non-operative management, previously limited to conservative measures with questionable efficacy, is now refined with tailored exercise programs focusing on proprioception and functional strengthening. This approach targets lesion stabilization and pain management, offering a viable option for smaller, stable lesions, particularly in younger, active patients. Surgical intervention remains necessary for larger, symptomatic lesions resistant to conservative treatment. However, surgical approaches are evolving beyond simple debridement or drilling. Techniques such as osteochondral autologous transplantation (OAT), autologous chondrocyte implantation (ACI), and microfracture are being refined with improved techniques and graft preparation methods. Minimally invasive arthroscopic approaches are increasingly favored, reducing surgical morbidity and improving recovery time. Furthermore, the integration of biologics, such as platelet-rich plasma (PRP) and bone marrow aspirate concentrate (BMAC), alongside these techniques is being explored to enhance healing and cartilage regeneration. Post-operative rehabilitation is critical for successful outcome. Structured programs emphasizing progressive weight bearing, range of motion exercises, and functional activities are tailored to individual patient needs and lesion characteristics. This individualized approach minimizes the risk of re-injury and promotes long-term functional recovery. The integration of advanced imaging techniques to monitor lesion healing and functional outcomes is also becoming increasingly important. In conclusion, the management of talar OCLs is shifting toward a more personalized and evidence-based approach, incorporating advanced diagnostic imaging, refined surgical techniques, and tailored rehabilitation programs to improve patient outcomes and return to function.