A haptic footswitch treadle for use in microsurgical systems is disclosed. The haptic footswitch treadle includes a haptic surface coupled to a pivotable treadle base and configured to convey vibratory haptic feedback to a surgeon. The haptic footswitch includes a positional sensor coupled to the treadle base and suspension elements and actuators positioned between the haptic surface and the treadle base. The actuators are configured to move the suspension elements and the haptic surface based on command signals generated by haptic software applications in response to data from the positional sensor.