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>221982</noOfUnitsSold>
        <aggregateMarketValue>1729239.00</aggregateMarketValue>
        <noOfUnitsOutstanding>82950000</noOfUnitsOutstanding>
        <approxSaleDate>05/30/2024</approxSaleDate>
        <securitiesExchangeName>NYSE</securitiesExchangeName>
      </securitiesInformation>
      <securitiesToBeSold>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <acquiredDate>05/30/2024</acquiredDate>
        <natureOfAcquisitionTransaction>Option Exercise</natureOfAcquisitionTransaction>
        <nameOfPersonfromWhomAcquired>company</nameOfPersonfromWhomAcquired>
        <isGiftTransaction>N</isGiftTransaction>
        <amountOfSecuritiesAcquired>221982</amountOfSecuritiesAcquired>
        <paymentDate>05/30/2024</paymentDate>
        <natureOfPayment>Cash</natureOfPayment>
      </securitiesToBeSold>
      <nothingToReportFlagOnSecuritiesSoldInPast3Months>N</nothingToReportFlagOnSecuritiesSoldInPast3Months>
      <securitiesSoldInPast3Months>
        <sellerDetails>
          <name>Stephen Deitsch</name>
          <address>
            <com:street1>14445 GRASSLANDS DRIVE</com:street1>
            <com:city>ENGLEWOOD</com:city>
            <com:stateOrCountry>CO</com:stateOrCountry>
            <com:zipCode>80112</com:zipCode>
          </address>
        </sellerDetails>
        <securitiesClassTitle>common</securitiesClassTitle>
        <saleDate>05/29/2024</saleDate>
        <amountOfSecuritiesSold>261</amountOfSecuritiesSold>
        <grossProceeds>2088.00</grossProceeds>
      </securitiesSoldInPast3Months>
      <securitiesSoldInPast3Months>
        <sellerDetails>
          <name>Stephen Deitsch</name>
          <address>
            <com:street1>14445 GRASSLANDS DRIVE</com:street1>
            <com:city>Englewood</com:city>
            <com:stateOrCountry>CO</com:stateOrCountry>
            <com:zipCode>80112</com:zipCode>
          </address>
        </sellerDetails>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <saleDate>05/28/2024</saleDate>
        <amountOfSecuritiesSold>218345</amountOfSecuritiesSold>
        <grossProceeds>1703811.54</grossProceeds>
      </securitiesSoldInPast3Months>
      <noticeSignature>
        <noticeDate>05/30/2024</noticeDate>
        <signature>/s/ 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>
metadata_documents: [{"type": "144", "sequence": "1", "filename": "primary_doc.xml", "secsgml_size_bytes": 4011}]
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
  221982
  1729239.00
  82950000
  05/30/2024
  NYSE
  Common
  05/30/2024
  Option Exercise
  company
  N
  221982
  05/30/2024
  Cash
  N
  Stephen Deitsch
  14445 GRASSLANDS DRIVE
  ENGLEWOOD
  CO
  80112
  common
  05/29/2024
  261
  2088.00
  Stephen Deitsch
  14445 GRASSLANDS DRIVE
  Englewood
  CO
  80112
  Common
  05/28/2024
  218345
  1703811.54
  05/30/2024
  /s/ Dan Schmidt, as a duly authorized representative of Piper Sandler & Co Corporate & Venture Services FA, as attorney-in-fact Stephen Deitsch