Bunion Surgery is considered when conservative treatments, such as changes in footwear, orthotic devices, and pain medications, do not provide sufficient relief from bunion-related symptoms. The specific surgical approach used can vary depending on the severity of the bunion and the individual patient’s needs, but there are a few common techniques:

1. Osteotomy: In this procedure, the surgeon cuts and realigns the bones at the base of the big toe. The bone may be repositioned, and sometimes a small screw, pin, or plate is used to hold the bones in their new position.

2. Exostectomy: This involves the removal of the bony bump (the bunion) without realigning the bones. Exostectomy is typically performed for less severe bunions.

3. Arthrodesis: In arthrodesis, the surgeon fuses the joint at the base of the big toe to prevent it from moving. This is often recommended for severe bunions or when there is significant joint damage.

4. Resection arthroplasty: In this procedure, the damaged portion of the joint is removed, and the joint is reconstructed using tendons or other tissues.

The choice of procedure depends on factors like the severity of the bunion, the patient’s overall health, and the surgeon’s assessment of what will provide the best long-term results.

Bunion surgery is typically performed as an outpatient procedure, meaning you can go home on the same day. Recovery time can vary depending on the type of surgery performed and the individual, but it often involves wearing a special post-operative shoe or boot and gradually increasing activity levels under the guidance of a healthcare provider. It’s important to follow your surgeon’s post-operative care instructions carefully to ensure a successful recovery.

As with any surgery, there are risks associated with bunion surgery, including infection, scarring, nerve damage, and the potential for the bunion to return. It’s essential to discuss the potential risks and benefits with your surgeon and explore non-surgical options before deciding to undergo bunion surgery.