Bunions are one of the more common foot conditions treated by podiatrists. Patients will typically complain of pain when wearing certain shoes, such as tight-fitting dress shoes, or when walking or running. Bunions are usually treated by conservative methods, such as shoe gear modification, padding and foot orthotics. If these fail, surgery is often recommended. There are several surgical procedures that correct bunions. Determining which is the most appropriate for each patient requires knowledge of the level of deformity, review of the X-rays and an open discussion of the goals the surgical procedure is to accomplish. Almost all surgical procedures require cutting and repositioning the first metatarsal or great toe.