A surgical cast venting device including an upstanding portion extending through a cast wall and having a bore therein, and a disc-shaped portion disposed in the interior of the cast and in cooperation with the upstanding portion. The disc-shaped portion has a central bore extending through one face thereof, and a plurality of generally radially extending fluid passageways extending from the circumference of the disc-shaped portion to the central bore thereof, and in fluid communication with the central bore and the bore in the upstanding portion. The venting device provides for maximum circulation with a minimum potential for irritation of a patient's skin.