content: <?xml version="1.0" encoding="UTF-8"?><edgarSubmission xmlns="http://www.sec.gov/edgar/ownership" xmlns:com="http://www.sec.gov/edgar/common">
    <headerData>
      <submissionType>144</submissionType>
      <filerInfo>
        <filer>
          <filerCredentials>
            <cik>0001704288</cik>
            <ccc>XXXXXXXX</ccc>
          </filerCredentials>
        </filer>
        <liveTestFlag>LIVE</liveTestFlag>
  
  
  
      </filerInfo>
    </headerData>
    <formData>
      <issuerInfo>
        <issuerCik>0001531978</issuerCik>
        <issuerName>Paragon 28 Inc</issuerName>
        <secFileNumber>001-40902</secFileNumber>
        <issuerAddress>
          <com:street1>14445 Grasslands Drive</com:street1>
          <com:city>Englewood</com:city>
          <com:stateOrCountry>CO</com:stateOrCountry>
          <com:zipCode>80112</com:zipCode>
        </issuerAddress>
        <issuerContactPhone>720-912-1332</issuerContactPhone>
        <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Deitsch Stephen</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
        <relationshipsToIssuer>
          <relationshipToIssuer>Officer</relationshipToIssuer>
        </relationshipsToIssuer>
      </issuerInfo>
      <securitiesInformation>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <brokerOrMarketmakerDetails>
          <name>Piper Sandler and Co</name>
          <address>
            <com:street1>800 Nicollet Mall</com:street1>
            <com:city>Minneapolis</com:city>
            <com:stateOrCountry>MN</com:stateOrCountry>
            <com:zipCode>55402</com:zipCode>
          </address>
        </brokerOrMarketmakerDetails>
        <noOfUnitsSold>225000</noOfUnitsSold>
        <aggregateMarketValue>1759000.00</aggregateMarketValue>
        <noOfUnitsOutstanding>82950000</noOfUnitsOutstanding>
        <approxSaleDate>05/28/2024</approxSaleDate>
        <securitiesExchangeName>NYSE</securitiesExchangeName>
      </securitiesInformation>
      <securitiesToBeSold>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <acquiredDate>05/28/2024</acquiredDate>
        <natureOfAcquisitionTransaction>Option Exercise</natureOfAcquisitionTransaction>
        <nameOfPersonfromWhomAcquired>Company</nameOfPersonfromWhomAcquired>
        <isGiftTransaction>N</isGiftTransaction>
        <amountOfSecuritiesAcquired>225000</amountOfSecuritiesAcquired>
        <paymentDate>05/28/2024</paymentDate>
        <natureOfPayment>Cash</natureOfPayment>
      </securitiesToBeSold>
      <nothingToReportFlagOnSecuritiesSoldInPast3Months>Y</nothingToReportFlagOnSecuritiesSoldInPast3Months>
      <noticeSignature>
        <noticeDate>05/28/2024</noticeDate>
        <signature>Dan Schmidt, as a duly authorized representative of Piper Sandler &amp; Co Corporate &amp; Venture Services FA, as attorney-in-fact  Stephen Deitsch</signature>
      </noticeSignature>
    </formData>
  </edgarSubmission>
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text: 144
  0001704288
  XXXXXXXX
  LIVE
  0001531978
  Paragon 28 Inc
  001-40902
  14445 Grasslands Drive
  Englewood
  CO
  80112
  720-912-1332
  Deitsch Stephen
  Officer
  Common
  Piper Sandler and Co
  800 Nicollet Mall
  Minneapolis
  MN
  55402
  225000
  1759000.00
  82950000
  05/28/2024
  NYSE
  Common
  05/28/2024
  Option Exercise
  Company
  N
  225000
  05/28/2024
  Cash
  Y
  05/28/2024
  Dan Schmidt, as a duly authorized representative of Piper Sandler & Co Corporate & Venture Services FA, as attorney-in-fact  Stephen Deitsch