Surgery

Bunion Surgery

Bunion surgery corrects a bony bump and misalignment at the base of the big toe when it causes pain or difficulty with footwear.

Quick answer

Bunion Surgery: what it is, why it's done and what happens

Bunion surgery realigns the bones, ligaments and tendons around the big toe to correct a bunion (hallux valgus). There are several techniques, sometimes involving cutting and repositioning bone and using small screws.

  • Why it is done: It is used when a bunion causes ongoing pain, difficulty walking or wearing shoes, or when the toe deformity is worsening, and simpler measures such as wider footwear and padding have not helped enough.
  • What happens: Under general or regional anaesthetic, the surgeon corrects the alignment of the toe, often reshaping bone and fixing it in place.

What it is

Bunion surgery realigns the bones, ligaments and tendons around the big toe to correct a bunion (hallux valgus). There are several techniques, sometimes involving cutting and repositioning bone and using small screws.

Why it is done

It is used when a bunion causes ongoing pain, difficulty walking or wearing shoes, or when the toe deformity is worsening, and simpler measures such as wider footwear and padding have not helped enough.

What happens

Under general or regional anaesthetic, the surgeon corrects the alignment of the toe, often reshaping bone and fixing it in place. It is usually a day-case operation.

Recovery

A special shoe or dressing is worn for several weeks, and swelling can last for months. Most people return to normal shoes and activities gradually over 6–12 weeks, guided by their surgeon.

Good to know

Risks and things to consider

Risks include infection, stiffness, ongoing pain, nerve irritation, and the bunion occasionally returning. Full recovery and reduction of swelling can take several months.

Education and reference only. This explains the procedure in general terms and is not medical advice. Your own care, risks and recovery will be explained by the team looking after you.

Answers

Bunion Surgery: frequently asked questions

How long until I can walk normally after bunion surgery?

You can usually bear weight in a special shoe soon after, but returning to normal footwear and walking typically takes about 6 to 12 weeks, with swelling settling over several months.

Can a bunion come back after surgery?

It is uncommon, but a bunion can return, particularly if the underlying foot mechanics or footwear habits are unchanged. Your surgeon will advise on reducing the risk.

Sources

Where this is drawn from

  • NHS — Tests and treatments
  • NICE — procedure and treatment guidance
  • British Orthopaedic Association / relevant professional body

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