More Information
via our confidential request form

Bunionectomy & Bunion Surgery Options at Our Los Angeles Center

What Is a Bunion?

When your big toe starts to point toward your second toe and a hard bump develops on the outside of your big toe, a bunion has formed. A bunion or hallux valgus forms for a number of reasons. Genetics can play a factor. If you have a family member who has a bunion, you may be at increased risk for developing a bunion. Also, women are more likely than men to have a bunion. Wearing high-heeled shoes, especially those of a narrow width, boosts your risk for developing a bunion, as well.

Signs you may have a bunion include:

  • Big toe turned toward your second toe
  • A hard, bony bump on the side of your foot
  • Pain at your toe joint that may worsen with wearing shoes
  • Red, rough skin along the inner portion of the big toe


Having a bunion does not always mean you have to undergo surgery. Some people may find relief from changing shoe types or wearing protective padding to keep the bunion from rubbing against your shoe. However, some bunions may advance in size and/or shape so that taking each step becomes highly painful. In these instances, a bunionectomy or bunion removal may be indicated.

Surgical Removal

Many approaches exist to bunion removal surgery. Your miVIP surgeon can evaluate your individual health condition and symptom severity to determine the best approach.

The most common forms of bunion removal surgery are performed utilizing a regional anesthetic. This means your surgeon will numb the affected area, but you will not be placed in a deep sleep. You may opt for a sedative to help you relax during the procedure. Your surgeon may then use one or a combination of the following approaches:

  • Bunionectomy/exostectomy: Removal of the bulging portion of the bunion.
  • Metatarsal osteotomy: Removal of a wedge of bone from the foot.
  • Phalangeal osteotomy: Removal of a wedge of bone from the toe.
  • Realigning ligaments of the foot around the big toe joint to straighten the big toe.
  • Fusion of the big toe joint or where toe bone joins the middle portion of the foot, helping to straighten the toe.


In some instances, artificial toe joints or a joint implant is used to correct the damaged or diseased toe joint.

Bunion Removal Surgery Recovery

While your miVIP Surgery Centers surgeon will do everything possible to minimize post-surgical risks, bunionectomy still has its risks. These include:

  • Loss of sensation to the toe
  • Pain and swelling
  • Infection at the incision site
  • Loss of blood supply to the bone
  • Abnormal change in position of the toe


Healing takes time following a bunionectomy, and you may find the bone does not completely heal until six months to one year. If you have pins that are sticking out of the foot to keep the toe in place, these often are removed after about three to four weeks. Your physician may recommend special kinds of shoes to keep from disturbing the big toe.

In some instances, your surgeon may instruct you to refrain from putting weight on your foot for six to eight weeks. You can return to light activities such as walking, swimming, biking or using an elliptical machine several weeks after surgery. However, you may need to refrain from high-impact exercises such as tennis for six to nine months after surgery.

Surgical outcomes for bunion removal surgery depend upon your body’s healing abilities and your habits following surgery. For example, if you continue to wear high-heeled, pointy-toed shoes after surgery, you may experience a bunion again. Even when wearing shoes with a wider toe box, it is possible for the bunion to reappear. Your surgeon can help you evaluate your risks to help you maximize surgical results.

Web Analytics