Offloading plays a key role in facilitating healing and preventing recurrence of diabetic foot wounds. This session will explain the pathophysiology of diabetic ulcer formation, neuropathic and neuroischemic diabetic foot ulcers, the common structural changes in the diabetic foot, and the forces that must be addressed to allow healing to occur. Additionally, strategies to prevent wound recurrence will be addressed. Presenters will critically examine common conditions prevalent in diabetic patients that make offloading a challenge. Current offloading techniques for ulcer prevention and healing will be explored.