Professional Podiatry Services of New York
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Foot & ankle surgery

Minimally Invasive Bunion Surgery

Minimally invasive bunion surgery (MIS) corrects bunion alignment through incisions a few millimeters long, using specialized instruments and live X-ray guidance. It is an option for many bunions — but not all — and the right procedure depends on your specific deformity.

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Bring any prior imaging or operative reports.

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The problem being treated

A bunion is a misalignment of the first metatarsal and big toe. Correction requires moving the bone, not just shaving the bump.

Related conditions: Bunions.

When surgery may be appropriate

  • Bunion pain that persists despite shoe changes and padding
  • Mild to moderate — and some more severe — deformities with a healthy big toe joint
  • Patients who understand that recovery still takes time

MIS may not be appropriate for bunions with significant arthritis, marked instability of the first metatarsal, or certain revision cases. In those situations a different procedure may give a more reliable result.

How the procedure works

  • The metatarsal is cut through a tiny incision using a specialized burr.
  • The bone is shifted and rotated into corrected alignment under live X-ray.
  • Screws placed through small incisions hold the correction while the bone heals.
  • The procedure is typically performed as outpatient surgery.

Typical restrictions after surgery

  • Walking is usually allowed in a surgical shoe or boot soon after surgery, as directed
  • Elevation to control swelling during the first weeks
  • No driving while in a boot on the right foot
  • Keep the dressing clean and dry until your first visit

Your surgeon will give instructions specific to your procedure; these are general guidelines only.

General recovery phases

  1. First two weeksRest, elevation, protected walking. First post-op visit and dressing change.
  2. Weeks 2–6Continued protected walking; X-rays to confirm healing.
  3. Weeks 6–10Gradual transition to wide, supportive shoes.
  4. Months 3–6Return to most activities; swelling continues to settle.

Frequently asked questions

Is minimally invasive bunion surgery better than traditional surgery?

It offers smaller incisions and may reduce early soft-tissue disruption, but it is not the best choice for every bunion. The goal is the procedure that best corrects your deformity.

Will I have scars?

The incisions are very small, typically a few millimeters each.

How soon can I walk?

Many patients walk in a protective shoe or boot soon after surgery, but your surgeon will give instructions specific to your procedure.

Outcomes vary from patient to patient. This page is educational and does not replace a consultation; candidacy is determined after an examination and imaging.