Bunion deformity is a common disease that affects people’s quality of life, from poor appearance in mild cases to pain and discomfort in severe cases, affecting walking function. Due to the scarcity of domestic foot surgeons and the misleading medical market, the treatment of bunion deformity lacks scientificity and there are more misconceptions. 1.Do bunion deformities have to be operated? For the general public, the range of indications for surgery described in professional terms is not easy to understand. The indications include: if the bunion deformity is painful and does not improve with braces or functional rehabilitation exercises and rest, or if it recurs, surgery is required; if the deformity is obvious and there is pressure on the second toe or overlapping toes, surgery is required; if there is a painful corpus callosum on the bottom of the foot, the forefoot is significantly widened and walking is painful, surgery is required; if there is joint stiffness or osteoarthritis. In short, surgery is required when foot pain symptoms are ineffective with rest and conservative treatment and when the deformity is obvious. For those with simple bunion deformity without symptoms, it is better to use braces and functional rehabilitation rather than opting for surgery, as painful symptoms may instead appear after surgery, which is more than worth the loss. We must remember that all surgical procedures are only an option of last resort. 2. Is minimally invasive surgery the best choice? Many patients ask me this question. Minimally invasive treatment requires the use of endoscopes and related sophisticated instruments and must be operated by operators with extensive surgical experience, otherwise the damage will be aggravated. The so-called minimally invasive is actually just a small skin incision, and the internal trauma to the surgical site is much greater, as operating under the scope cannot be compared to the precision of operating under direct vision. In addition, bunion deformity is a very complex disease with hundreds of surgical methods. Improperly performed minimally invasive surgery can damage normal tissues and, more importantly, minimally invasive surgery cannot perform complex operations such as osteotomies, tendon transposition and functional reconstruction. In conclusion, minimally invasive surgery can be used for simple operations such as bony excision and bunion severance. For complex bunion deformities, minimally invasive surgery is risky and cannot achieve the ability to completely solve the problem, which is suspected of commercial hype. 3. Can surgery completely cure a bunion deformity? Surgery is only a treatment tool for bunion deformities. For bunion deformities, surgery is only an adjustment treatment for the disease, not a cure. Bunion pathology is complex and cannot be restored to normal anatomy and physiology in any way. Therefore, surgical protocols are designed for different lesions of the patient, with the aim of helping the affected foot to achieve maximum relative stability and approximation of normal anatomy, which cannot be fully restored. The ultimate goal of surgery is to improve the deformity and treat painful discomfort. Therefore, it is important not to assume that everything will be fine after surgery, but rather to take care of it to avoid recurrence.