Should i get surgery for over pronation of my ankles? causes knocked knees, muscle pain, hips to pop, and lower back pain. tried inserts & therapy.

Talk to MD: If you have failed conservative treatment then surgery may be an option. I would see a orthopedic foot and ankle specialist for an evaluation. You can discuss surgical options with them. While not my area of expertise, i would question if more "extensive" orthotics would help.

Surgery: Isn't the only option in this case i would try an AFO which is a brace or custom orthotics. Exhaust all conservative treatment before surgery.