[Objective] To investigate the clinical efficacy of staged Ilizarov technique and tendon transfer in the treatment of severe tali- pes equinovarus deformity secondary to poliomyelitis. [Methods] A retrospective study was conducted on 24 patients who received Achilles tendon lengthening combined with Ilizarov technique to correct the deformities in the first stage, followed by transfer of posterior tibialis to maintain muscle balance in the second stage for talipes equinovarus deformity secondary to poliomyelitis in our department from June 2012 to June 2018. [Results] All patients had two-stage surgical procedures and relative interoperative management performed successfully with no serious complications such as nerve and vascular injury during the preoperative period. As time went in the follow-up period lasted for (2.6±0.8) years on an average, the range of motion of ankle dorsi flexion and metatarsal flexion joint significantly improved (P＜0.05) ，the AOFAS ankle-hindfoot score significantly improved (P＜0.05) . In term of radiograph, Morrey-Wiedeman classification of ankle degenera- tion were significantly improved at 8 months after operation and at the last follow-up compared with those before operation (P＜0.05) . [Conclusion] The staged Ilizarov technique and tendon transfer are effective treatment for correction of severe talipes equinovarus deformity sec- ondary to poliomyelitis.