A bunionectomy procedure is performed to excise or removes the bunions, which is nothing but a localized painful swelling at the base of the big toe. The joint is enlarged due to new bone formation causing misalignment of the toe. The bunion is from either due to bursitis or the inflammation caused by degenerative joint disease.

Bunionectomy is recommended in the following conditions:

  • Intense pain and stiffness
  • Foot deformity and difficulty in walking and performing routine activities
  • Conservative treatment has failed to relieve the pain and other problem

The reasons for the development of bunions include:

  • Hereditary
  • Congenital deformities
  • Arthritis
  • Nerve or muscle disorders in the foot

Facts & Figures:

  • Bunions are more common in women than men, especially Belle dancers. This issue is aggravated by wearing high-heeled and narrow-toed shoes.
  • According to a study by the American Orthopedic Foot & Ankle Society, about 88% of women wear too-small shoes and 55% of them have developed bunions.


  • According to the American Orthopedic Foot & Ankle Society, less than 10% of patients undergoing bunionectomy experience complications
  • 85–90% of patients are satisfied with the results, relieving the pain and restoring the bone alignment
  • After surgery, one can walk comfortably, and wear fitted shoes easily
  • The procedure is done in 1 hour with only 1-2 days of recovery


  • Bunions may reform, especially by wearing misfit shoes after surgery
  • Restricts the flexibility and of the big toe joint compared to that of the other foot

Pre-operative preparation:

  • X-rays for proper diagnosis
  • Consult with the surgeon week prior and get the correct medicinal prescriptions.
  • Inform the surgeon about smoking and alcohol habits.
  • Plan for leave from work and domestic help at home during the rehabilitation period.
  • Don’t consume anything after midnight before surgery.

Post-operative care:

  • One must follow the aftercare instructions given by the surgeon for the best results.
  • In most cases, patients are discharged from the hospital as the anesthesia wears off.