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Wouldn't it be easier just to do surgery right off the bat to fix a clubfoot than to do through the whole process of putting on a cast and changing it many times? Why not just do the surgery since the kids often end up having it anyway?

It may seem at first glance that it would make sense to do surgery to correct a clubfoot, the casting method, the Ponsetti method is often successful. The use of the casting can make it so if a child does need surgery, it may only be one procedure (Achilles tendon release, for example) instead of several surgeries.

Reference: 

Douglas E. Pittner, MD, Kevin E. Klingele, MD, and Allan C. Beebe, MD. Treatment of Clubfoot With the Ponsetti Method. A Comparison of Casting Materials. In Journal of Pediatric Orthopaedics. March 2008. Vol. 28, No. 2. pp. 250-253.

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