Bunion Surgery

Updated 11/12/2020
Nina discusses her MinVasive Bunionectomy™️and painless recovery.

Our Los Angeles bunion surgeons are the inventors of the Forever BunionectomyTM and MinVasive Bunion SurgeryTM featuring the CrossRoads miniBunion™️ System. Both of these procedures have revolutionized traditional bunion surgeries resulting in quicker and virtually painless recoveries and hidden or very tiny incisions.


While the Forever Bunionectomy™️ and the miniBunion™️ System have proven to have the highest success rates and fastest recoveries, our surgeons are expertly trained in over 40 types of bunion surgeries. They have improved on many of these procedures allowing for quicker recovery and immediate weight-bearing in most cases.


If you are contemplating bunion surgery, It is important to find a surgeon that is experienced in a variety of bunion surgery techniques so they can tailor your procedure to your unique condition. 

Lapidus Bunionectomy, Bunion Surgery Los Angeles

Lapidus bunionectomy and osteotomy tailor’s bunionectomy performed with hammertoe correction of the second toe. Afterimage was taken approximately 3 months post-surgery.

Essentially Pain-free Bunion Surgery

Bunion surgery may be recommended when less invasive treatment options aren’t successful. The primary goal of a bunionectomy is to correct the big toe deformity and eliminate bunion pain.


Our bunion surgeries are virtually painless. We concentrate on a variety of things to control pain, including: 

  • We use stable fixation so the bones don’t move, which results in less swelling and pain. 
  • We inject long-acting local anesthesia and a proprietary mix of cocktail that controls swelling and pain. 
  • The boot we use allows for stability and less movement with less pain. 
  • We use anti-inflammation protocols after surgery that reduces pain and swelling without the need for major narcotic use.


Our patients rarely take more than one or two pain pills unless it is extensive surgery. Most patients control pain with over-the-counter anti-inflammatory medication and Tylenol.


Browse our patients' before and after photo gallery of bunion surgeries.


Types of Bunion Surgery Include:


Forever Lapidus Bunionectomy™️

Deanne talks about her Forever Lapidus Bunionectomy and overall experience at UFAI.

The Lapidus bunionectomy is considered the Gold Standard for bunion surgery. For the right patient, this procedure has the highest success rates with essentially a 0% chance of the bunion returning. 


This procedure has the lowest risk of re-occurrence of the bunion because the Lapidus bunionectomy addresses the source of the bunion deformity (a loose/hypermobile 1st metatarsal and cuneiform joint). The Lapidus procedure is ideal for a moderate to a severe bunion or if there is a significant amount of hypermobility.


With UFAI's trademarked Forever Bunionectomy™️, our bunion surgeons have improved the traditional Lapidus procedure by infusing stem cells and amniotic cells during surgery. These advanced techniques speed up recovery and reduce scarring. Non-weight bearing and time in a cast are reduced from 8-12 weeks to 2-3 weeks. Immediate weight is possible but there is usually better healing with two weeks of no weight.


Our on-site CT scan allows us to see the fusion earlier, which gets patients moving faster. Additionally, our physicians work directly with our physical therapists offering our advanced PT protocol that allows for improved range of motion with less stiffness and pain.


MinVasive Bunionectomy™️ featuring the CrossRoads miniBunion™️ System

The MinVasive™️ procedure is our trademarked system developed in conjunction with our own bunion surgeons.

Dr. Baravarian discusses minBunion™️ surgery.


MinVasive Bunionectomy™️ procedures combine the best points of open bunionectomy (the fixation) and the best parts of traditional minimally invasive bunionectomy (the repositioning options and small incision) with new technologies. This makes the MinVasive bunionectomy an ideal bunion procedure with the best potential outcomes.


Traditional minimally invasive bunion procedures have had limitations of fixation options, which result in poor bone healing and malunions of the bone alignment. The MinVasive Bunionectomy™️ featuring the CrossRoads mini Bunion™️ System has been designed to deal with all of the underlying complications of traditional bunion surgery and also to allow for adequate fixation through a minimally invasive approach. This results in excellent healing and limitation of risk factors associated with traditional minimally invasive bunion surgeries.


Minimally invasive minbunion surgery, University foot and ankle institute
Eva, MinVasive Bunionectomy patient. Her after picture was taken six weeks post-surgery.

Unlike traditional minimally invasive procedures that are fixated with a thin and weak pin, the MinVasive™️ uses a small plate and screws that can be placed through a very small incision to fixate the bone and control abnormal stress through the bone and hold the corrected position until the bone heals fully.


The ideal bunion surgery needs to correct the bunion in three planes. The bone also needs to be corrected in an up and down position and rotated to sit properly over the two seed bones under the great toe called sesamoids. While this is not possible with traditional osteotomy procedures without a through and through the cut of the bone, this can be accomplished with the MinVasive bunionectomy.


Our MinVasive™️ procedure featuring the CrossRoads miniBunion™️ System allows for immediate weight-bearing in a boot without crutches. Time in the boot is reduced and patients are a surgical shoe 4 weeks and normal shoes in 6 weeks.


Read more about the miniBunion™️ System here.


Austin or Chevron Procedure Long Arm Osteotomy

Osteotomy  Bunionectomy, University Foot and Ankle Institute
Osteotomy bunionectomy performed with hammertoe correction. After image was taken approximately 2 months post-surgery.

This is one of the most commonly performed bunion surgeries. An osteotomy, or bone cut, is made on the metatarsal head, just behind the big toe joint. This “V” shaped cut (when viewed from the side) allows the first metatarsal to shift laterally toward the second metatarsal bone. The bones are held together in their newly corrected position with two screws. Although the screws may not be needed after the bone is healed, they are often left in place to avoid a re-occurrence of the bunion.


Our surgeons have revolutionized the chevron osteotomy procedure and allow for immediate weight-bearing, no cast, and a faster recovery. In most cases, patients are back in regular shoes in 4-6 weeks post-surgery. Additionally, by making the incision on the side of the foot, we can avoid a large scar on the top of the foot.


This is a strong and predictable procedure and is commonly used on active patients younger than 50 years, with mild to moderate hallux valgus.



Akin Bunionectomy

This surgery is most frequently done as an adjunctive procedure and is rarely done on its own. In some cases, the angulation deformity of the great toe is so severe (big toe is bowed out) that an adjunctive procedure is needed. Once the initial surgery is completed, the surgeon examines the great toe. They will ensure that it is straight enough and appropriately spaced from the 2nd toe.


If an additional correction to the big toe is needed, an Akin osteotomy is performed. Using an angular cut, a triangular wedge of the big toe bone is removed. The wedge is then closed allowing the big to shift away from the 2nd toe. The bones are stabilized with a screw while the bone heals. This additional procedure does not add to the healing time of the main surgery.


Opening Wedge Bunionectomy

A bone cut is made along the first metatarsal and a wedge of bone is placed in the bone cut to correct and close the abnormal angle between the 1st and 2nd metatarsals. Donor bone graft or bone harvested from the patient can be used for this correction. A special small plate with screws is used to stabilize this correction. Post-surgery, patients are usually in a cast non-weight bearing on crutches for six weeks.


McBride Bunionectomy

The McBride bunionectomy is not commonly performed as it involves removing the bony bump without cutting the bone and shifting it. That being said, it is used when there is a mild bunion or if the patient is a poor surgical candidate that may not heal well from an osteotomy (bone cut). While the McBride bunionectomy is an acceptable procedure, it does not provide the same type of correction, as do procedures involving an osteotomy.


Tailor's Bunion Surgery

When a bunion develops in the little toe (rather than at the base of the big toe) it is known as a tailor's bunion. 


Depending on the severity of the bunion, surgery can be straightforward, such as shaving the bone in order to lessen pressure on your bunion from footwear. In some cases, cutting or separating the 5th metatarsal (small toe) so it can be properly realigned into a normal position is the best way to improve your overall foot mechanics.


What Happens When Bunion Surgery Fails?

Bunion SUrgery Revision

About 25% of our patients come to us after a failed bunion surgery elsewhere.


Patients come to University Foot and Ankle Institute and after previous bunion surgeries have proved unsuccessful.  Failed bunion surgeries are discovered when new complications appear, including: 


Recurrence of the Bunion 

If the bunion returns most often the underlying problem wasn’t addressed in the initial surgical procedure and the deformity was never really corrected. This may in part be due to the surgeon choosing the wrong procedure that was inadequate to correct the cause of the bunion.


Excessively Short Big Toe

Any bunion surgery that involves bone cutting or fusion will result in a shortening of the big toe, but the big toe should not shrink so much as to cause you pain or impact your foot’s ability to function.


Hallux Varus

Hallux Varus occurs when the big toe is pulled in the wrong direction. It's caused by a muscular imbalance resulting from a failed bunion surgery. 


Severe Stiffness in the Big Toe Joint

After bunion correction surgery, it’s common and perfectly normal to experience some joint stiffness. You can loosen the joint up by wiggling it – this is why at UFAI, we’ve developed procedures that keep patients out of a cast. 


However, if you’ve received bunion surgery and spent your recovery time in a cast and crutches, you might experience more stiffness than usual caused by the formation of scar tissue (adhesions) in the big toe joint.



Arthritis occurs when the cartilage that cushions and lubricates the joint degenerates. Arthritis is characterized by pain, swelling, clicking or grinding in the joint, and the formation of bone spurs.


UFAI Improves Upon Surgical Hardware for Lapidus Bunionectomies

DynaForce System, Lapidus Bunionectomy, Univeristy Foot and ANkle Institute

Surgical hardware is often a part of bunion surgery. The hardware (plates, screws, and clips) are used to fuse and stabilize the bone after surgery.


The physicians at UFAI commonly perform the Lapidus bunionectomy (the gold standard for large bunions) using the DynaForce Active Stabilization System they developed in conjunction with CrossRoads Extremity Systems.


The DynaForce System combines the high compression of a clip and the stabilization of a Lapidus plate with no need for screws.


Because there are no screws taking up “space”, the entire surface of the bone is open to fusing. The DynaForce clips are delivered flush to the bone and are significantly stronger than a fusion using plates and screws.


They are also much lower profile so there is less need to go back and remove it. And unlike screws, the clips can’t get loose.


Bunionectomy Yelp Patient Review

The following five-star Yelp review was posted by University Foot and Ankle Bunion patient, Shabnam.

5 Star Yelp review, University Foot and Ankle Institute

...From start to finish, before and after my bunion surgery, [my Dr.] and his staff took great care of me.  


The surgery was fast and precise, with clean incisions and nearly painless recovery. I did not need to take any of my pain medication.


Everyone in his office is warm, friendly, and knowledgeable, which makes the entire experience very smooth and pleasant.


Click here to see Shabnam's full review on Yelp.com.


The Best Choice for Bunion Surgery in Los Angeles

UFAI's surgeons are nationally recognized leaders in permanent bunion correction. Decades of experience and tens of thousands of successful outcomes assure the very best possible outcome.


Our methodologies not only eliminates pain but leave virtually no scars. Surgeries are performed on an out-patient basis in our state-of-the-art surgery centers. Additionally, bunion correction technology and pain management have become much more advanced over the years and we've been able to make our bunion surgeries virtually painless.


Our modern foot and ankle physical therapy services allow you to get moving faster and safer. Since foot and ankle therapy is specialized, we work with our therapists to make sure they understand each patient’s specific needs and how to make a rapid recovery.


All this means a safer, shorter, happier, and less painful recovery for our patients with the advantage of world-class bunion educators and specialists.




















Bunion (often misspelled bunyon or bunyion) Surgery FAQs


Q: Do your surgeons require their patients to be under general anesthesia for a bunionectomy? 

 We do not do general anesthesia for bunion surgery. We use local and sedation.


Q: Is surgery the only way to fix a bunion?

Technically, you can only “fix a bunion” with surgery, but that does not mean that everyone needs surgery to get symptom relief. Conservative treatment can be very beneficial for some patients and, as a rule, our Los Angeles bunion specialists pride themselves on creating an individualized treatment plan for each of our patients, based on their physical condition and personal lifestyle.


Q: Am I a candidate for bunion removal surgery?

Not everyone is a good candidate for a bunionectomy, and if a bunion is in its early stages, which we hope it is, we will want to consider less-invasive treatments. We want to avoid surgery whenever possible. Since bunions tend to worsen with time, early treatment is the best medicine.


Q: Will I be able to walk right after a bunionectomy?

You should be able to bear weight with the aid of a protective boot immediately after your bunionectomy. Some patients require crutches to aid them in walking for the first few days. Only the most severe bunion cases that require more comprehensive surgery require time off the foot. Even in those cases, our doctors have shortened the typical time off the foot to only 2-3 weeks rather than 6-8 weeks. We will let you know when you can resume walking and other normal activities because we will be seeing you during your entire recovery.


Q: Will my bunion come back after surgery?

Bunionectomy is a very effective treatment in that it removes the bunion, relieving the pain and discomfort it can cause when walking and performing other activities. However, proper foot-care after surgery is essential to prevent bunions from coming back. After we correct your bunion issue it is important to avoid the same things that helped cause the problem in the first place. We know it can be difficult for some patients to avoid wearing high heels and other improper footwear, but it is more important for you to never suffer from bunions again. As you recover we may suggest the use of corrective orthotics.


Q: Will I be under anesthesia during surgery?

Usually, not general anesthesia, but mild sedation helps you stay calm and immobile. Bunion specialists at University Foot and Ankle Institute perform most surgeries with IV sedation.


Q: How painful will it be after my bunionectomy?

While patients do experience some pain after a bunionectomy, over the counter pain relievers and anti-inflammatories are often all you need for effective relief. University Foot and Ankle Institute is at the forefront of research on pain control following bunion surgery. From long-acting local anesthetics to creams that control swelling and pain, our emphasis is on “no pain” after surgery.


Q: I am from out of state and I want a bunionectomy at UFAI. When can I go home? 

The minimum stay is 5 days, however, we prefer 10 days if possible. We often need additional info to make sure your bunion type fits with the right procedure. This is best done through a virtual consultation.


Q. For a Lapidus bunionectomy, does UFAI use a titanium plate and 2 screws in the midfoot?

We use a new staple and plate system from Crossroads that is stronger and better than the regular screw and plate system. We place 2 staples and a plate with 2 screws during a Lapidus.


Q: I read about a minimally invasive bunion procedure that removes the bunion by shaving down the bone. Is this an effective option for bunion removal?

Unfortunately not because you are not realigning the bone, so you are not correcting the core problem. The end result is the bunion will most likely return and then need to have surgery again. We know this first-hand since about 20% of our bunion surgeries are correcting others' work and we have repaired our fair of these procedures as have many of our colleagues.


Fortunately, permanent bunion correction surgery with minimal or no scarring is done by us all the time with immediate weight-bearing with an essentially painless recovery.


Q. I have a mild case of bunions on both feet. Can you perform surgery on both feet at the same time?

Yes, we can perform surgery on both feet at the same time but prefer to do the feet two weeks apart. This allows the first to foot to heal for a couple of weeks and make sure all is well prior to doing the second foot.


Q. I just had bunion surgery. what can I put on the incision to help it heal and be less visible?

We recommend silicone gel sheets, vitamin E cream, and Mederma. All of these products can improve the cosmetic outcome of surgical incisions.


Q. How soon can I leave the hospital or surgery center after surgery? 

The surgery is outpatient so you go home the same day.


Q. Will I be able to drive yourself to the surgery appt?

No, you cannot drive yourself the day of surgery. You need to have someone take you home after surgery.


Q. Will there be unforeseen complications after surgery, such as excessive swelling and inflammation that worsens?

We can, of course, only speak about the results of our experienced surgeons, but we have not had any issues.


Q. Will there be a mandatory follow up appointment to check up how the bunion surgery go?

Yes. We would want to see you usually at around 5 days post-surgery, then 3 weeks and 6 weeks later.


  • Foot and Ankle Surgeon and Director of University Foot and Ankle Institute
    Dr Bob Baravarian, University Foot and Ankle Institute

    Dr. Bob Baravaria DPM, FACFAS is a Board-Certified Podiatric Foot and Ankle Specialist. He is currently a member of UCLA Medical Group, Chief of Podiatric Surgery at Santa Monica/UCLA medical center and Orthopedic Hospital, and an assistant clinical professor at the UCLA School of Medicine. He also serves as Director of University Foot and Ankle Institute.


    Dr. Baravarian has been involved in athletics his entire life and played competitive tennis in high school and college. He has an interest in sports medicine, arthritis therapy, and trauma/reconstructive surgery of the foot and ankle. He is also fluent in five languages (English, French, Spanish, Farsi, and Hebrew),

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