This video demonstrates operative treatment of the tibial intraneural ganglion. Exposure and treatment of the tibial intraneural ganglion is accomplished after incorporating many of the steps demonstrated in the exposure of the peroneal intraneural cyst (shown in Video 3). This information has been taken from Peroneal and Tibial Intraneural Ganglion Cysts in the Knee Region, a manuscript that can be read here: http://journals.lww.com/neurosurgery/… . It was submitted by corresponding author Robert J. Spinner, MD, from the Department of Neurologic Surgery at the Mayo Clinic in Rochester, Minnesota.