Background: Since the start of the Ponseti technique for treatment of congenital club foot, some modifications to the original method has been tried with some having good early results. Patients and methods: Forty children with a mean of 10 days presented with sixty-four idiopathic club foot deformities were included. The feet were divided into 2 equal groups; Group A (32 feet) and group B (32 feet). Group A feet were treated by serial gentle foot manipulation and above knee plaster(AKP) casting (classic Ponseti technique) while group B were treated by serial gentle foot manipulation and below knee plaster (BKP) casting (a modified Ponseti technique). The patient were followed up for a mean duration of 26 months ranged from 24 to 30 months. The results were graded as good, bad, and failed, according to the assessment criteria by Pirani et al. Results: The mean Pirani score for group (A) before treatment was 5.6 points, became 1.7 points after the last manipulation cast, and 1.15 points at the final follow up. For group (B), it was 5.2 points before treatment, became 1.5 points after the last manipulation cast, and 1.00 point at the final follow up. Conclusion: The presenting technique of serial manipulation and below knee casting was comparable to the original one. It was a cost effective with a good results and very minimal cast related complications.