Alfonso Fasano, MD, PhD, University of Toronto, Toronto, Canada, discusses the impact of compensatory mechanisms on gait disorder presentation and how this should be considered when diagnosing a patient’s underlying neurological (or non-neurological) syndrome. Balance problems, pain, and weakness are all common features of movement disorders that patients may try to manage through compensatory mechanisms. In this way, certain features of a patient’s gait may not be characteristic of their true diagnosis, but reflections of their management techniques. This interview took place during the 2021 International Congress of Parkinson’s Disease and Movement Disorders.