Bunions

Types of Bunion Surgery

Many people have an understandable reluctance to undergo surgery if they
can avoid it. This makes sense most of the time, but when it comes to
bunions and bunion pain, surgery really is the only method capable of
removing bunions and alleviating bunion pain permanently. Yet, there are
actually dozens of types of bunion surgery. Indeed, depending on the
size and severity of the bunion –– as well as other health factors –– doctors
may recommend any one of 40+ possible surgical options. Obviously, this
might seem overwhelming to a patient. With that in mind, today we’ll take a
look at some of the most common types of bunion surgery, explain what
they are, and what you as a patient can expect from them. Check it out
here:

Minimally Invasive vs Traditional Bunion Surgery

While the objectives of most bunion surgeries are very similar, the methods
surgeons use to carry them out fall into two distinct categories: minimally
invasive and traditional, open-foot surgery.

During traditional bunion surgery, the surgeon will make a large incision
along the to or side of the foot. Often, they will remove the bunion and use
metal screws or plates to hold the alignment of the foot in place. While this

can be an effective way to remove a bunion, it also creates lots of collateral
damage and difficulties. There is generally a longer recovery due to the
amount of scarring and disruption blood supply to the bones. This type of
bunion surgery is more susceptible to infection and in many instances
patients experience large scarring and stiffness along their foot as a result.
What’s more, traditional bunion surgery requires general anesthesia and
significant recovery time. It could take a patient months before they’re able
to walk freely and without pain after traditional, open-foot surgery.

Conversely, minimally invasive surgery accomplishes the same goals as
traditional surgery, but without the detrimental side effects. For one,
minimally invasive surgery involves only a very small (¼ inch) incision
along the side of the foot. This cuts down on scarring and recovery time.
What’s more, doctors only need to use local anesthesia to numb the foot.
This means that patients can, and regularly do, walk out of the operating
room and drive home after their procedure. Finally, recovery time is
drastically shorter with minimally invasive surgery.

Variations of Bunion Surgery

If your doctor recommends bunion surgery, they may use certain, specific
terms to describe the procedure. As we mentioned above, that’s because

there are many different variations on bunion surgery. Some of the most
common types of bunion procedure include:

● Exostectomy –– during an exostectomy the surgeon will remove the
bunion from the joint. This is often referred to as a “bunionectomy” or
bunion removal. A strict exostectomy does not involve the
realignment of the foot, and, as such, is typically performed in
conjunction with another procedure.

● Osteotomy –– an osteotomy is a surgical bone cut performed to
correct the joint near the big toe and restore the alignment of the foot.

● Arthrodesis & Arthroplasty –– individuals with arthritis and bunions
may require specialized procedures like arthrodesis –– meant to fuse
and completely remove the function of the joint, and arthroplasty ––
meant to remove damaged portions of joint. Both may require the
insertion of screws and/or plates to hold the new alignment of the foot
together.

Keep in mind that over-the-counter treatments like bunion splints, pads,
and cushions will –– at best –– offer only minor and temporary pain relief.
And none will act to reduce or “cure” a bunion.

Contact Us

At The Bunion Cure, we specialize in minimally invasive
treatments. Our expert team has years of experience helping patients
overcome bunion pain and get back to living their life to the fullest again ––
pain-free. Contact us here to learn more about our methodologies or to
schedule a free consultation today.

To learn more about minimally invasive bunion surgery, contact the experts at The Bunion Cure! or download our free “Guide to Minimally Invasive Foot & Ankle Surgery“!

Frequently Asked Questions – Types of Bunion Surgery

1. What types of bunion surgery are available?

  • Minimally invasive surgery: tiny incision (~¼ inch), local anesthesia, minimal tissue disruption. 
  • Traditional (open-foot) surgery: larger incision, general anesthesia, and often involves plates or screws. 

2. Why choose minimally invasive over traditional surgery?

  • Smaller incision leads to less scarring, lower infection risk, and faster recovery. 
  • Local anesthesia allows patients to walk out and even drive themselves home. 

3. What’s an exostectomy?

This involves shaving down the bony bump (the bunion) without moving bones. It’s usually combined with other procedures as it doesn’t correct the underlying misalignment.

4. What is an osteotomy?

A surgical cut made to bone (usually the metatarsal near the big toe) to realign the joint and correct the bunion deformity.

5. What are arthrodesis and arthroplasty?

  • Arthrodesis (fusion): permanently joins bones in arthritic joints, eliminating movement. 
  • Arthroplasty: removes damaged joint portions and often uses screws or plates to reconstruct joint alignment. 

6. How many variations of bunion surgery are there?

Though over 40 procedures exist, exostectomy, osteotomy, arthrodesis, and arthroplasty are among the most common.

7. Do non-surgical options eliminate bunions?

No—over-the-counter devices like splints or bunion pads offer only temporary symptom relief. Surgery is the only way to correct the deformity permanently.

8. Which approach does The Bunion Cure prefer?

They specialize in minimally invasive bunionectomy—combining small incisions, precise bone cuts (osteotomy), and discreet fixation for effective alignment correction.

9. What should I expect if I choose minimally invasive surgery?

  • Quick outpatient procedure (total <90 minutes). 
  • Walk out in a surgical shoe or boot with minimal downtime. 
  • Lower pain, faster healing, and reduced risk of infection versus traditional methods. 

10. How do I know which surgery is best for me?

The best option depends on:

  • Severity of your bunion 
  • Overall foot and joint health 
  • Your recovery goals