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The ability to obtain standing, weight-bearing three-dimensional images (WBCT—weight-bearing computed tomography) is just a small part of the revolution brought by cone beam technology, even though it is particularly relevant for foot and ankle imaging. The greatest benefit to patient care comes from the integration of point-of-care and real-time imaging provided by 3D radiography. The aim of this work is to highlight the growing clinical use of CBCT (cone beam computed tomography), particularly WBCT, in foot and ankle assessment. We will address its overall value regarding patient flow by reviewing the technical and historical aspects of the technology. Then, in a chapter focusing on indications, we will differentiate between its use in trauma cases and routine conditions. Finally, we will conclude by discussing expected future developments, including the widespread adoption of this technology as a first-line imaging method in osteoarticular conditions, replacing conventional X-rays. This will also pave the way for artificial intelligence-based software to develop measurement, diagnostic, prognostic, and patient-specific therapeutic tools.