Plantar fasciitis is the most common cause of heel pain. Current surgical procedures for the management of plantar fasciitis include open surgery, percutaneous release, endoscopic surgery, and ultrasonography-guided ultra-minimally invasive surgery. Ultrasonography-guided plantar fascia release can be performed as an outpatient procedure in an operating room without a tourniquet, using 1- to 2-mm incisions and local anesthetic agents. Ultrasonography-guided plantar fasciotomy using multiple perforations with a needle is a closed and novel technique that reduces the risk of complications and decreases hospital costs because the procedure can be performed in a specialist’s consultation room. Our preliminary results of the procedure are excellent, and the technique is reliable and safe.