Bunion Removal

What is bunion removal?

Bunion removal, called a bunionectomy, is a procedure in which the healthcare provider removes a swelling or thickening on your big toe joint called a bunion. The provider may also straighten your toe if necessary.

When is it used?

This procedure is used when a bunion makes walking painful.

Examples of alternatives are to:

• Wear different shoes.
• Wear a thick felt ring around the bunion to relieve pressure.

You should ask your provider about these choices.

How do I prepare for a bunion removal?

Plan for your care and recovery after the operation. Allow for time to rest and try to find people to help you with your day-to-day duties.

Follow any instructions your provider may give you. Eat a light meal, such as soup or salad, the night before the procedure. Do not eat or drink anything after midnight and the morning before the procedure. Do not even drink coffee, tea, or water.

What happens during the procedure?

You will be given general anesthesia to relax your muscles and make you feel as if you are in a deep sleep. It will prevent you from feeling pain during the operation. The provider makes a cut over the bump in your toe, cuts off the bump, and puts the toe in a more normal position. The provider may have to make more than one cut, and may have to cut the bone in the toe to reposition it. After the procedure, the provider closes the cut.

What happens after the procedure?

• You will limit your walking for 2 or more weeks.
• You may go home the same day or you may stay in the hospital for a day, depending on your condition.
• You will probably wear a brace, special shoe, or cast to help support the toe and foot.
• Your toe may be painful for a few months.

Ask your provider what steps you should take and when you should come back for a checkup.

What are the benefits and risks of this procedure?

Walking will be more comfortable, your shoes may fit better, and your toe won't hurt.

There are some risks when you have general anesthesia. Discuss these risks with your provider. Other risks include:

• The bunion may grow back.
• The nerves and arteries in the affected area could be damaged.
• Your toe could lose its blood supply.
• Infection and bleeding may occur.
• Your toe may be stiff.

Ask your provider how these risks apply to you.

When should I call the healthcare provider?

Call the provider immediately if:

• You develop a fever.
• You can't control the pain.
• You develop excessive bleeding.

Call the provider during office hours if:

• You have questions about the procedure or its result.
• You want to make another appointment.