The problem being treated
A bunion involves drifting and rotation of the first metatarsal. Effective surgery corrects that alignment in all planes.
Related conditions: Bunions, Metatarsalgia.
When surgery may be appropriate
- Persistent bunion pain despite conservative care
- Progressive deformity or problems developing in the second toe
- Moderate to severe bunions or an unstable first metatarsal
Bunion surgery is not recommended for appearance alone. Circulation, smoking, and bone health all affect candidacy.
How the procedure works
- Osteotomy: the metatarsal is cut and shifted into alignment, then held with screws or a plate.
- Lapidus procedure: the joint at the base of the first metatarsal is corrected and fused, stabilizing unstable or severe bunions.
- Soft-tissue balancing around the big toe joint completes the correction.
- Most procedures are performed as outpatient surgery.
Typical restrictions after surgery
- Protected walking or non-weight-bearing depending on the procedure
- Elevation for swelling
- Boot or surgical shoe for several weeks
Your surgeon will give instructions specific to your procedure; these are general guidelines only.
General recovery phases
- Weeks 0–2Rest and elevation; first post-op visit.
- Weeks 2–6Protected weight-bearing as directed; X-rays to follow healing.
- Weeks 6–12Transition to supportive shoes; physical therapy if needed.
- Months 3–12Return to full activity; residual swelling resolves gradually.
Frequently asked questions
What is a Lapidus bunionectomy?
A procedure that corrects and fuses the joint at the base of the first metatarsal, addressing instability that can contribute to bunions and recurrence.
Can both feet be done at once?
Sometimes, but most people find recovery much easier when feet are done separately.
Outcomes vary from patient to patient. This page is educational and does not replace a consultation; candidacy is determined after an examination and imaging.