With the flourishing development of foot and ankle surgery in China, especially the advancement of surgical techniques, surgical instruments and surgical materials, the surgical treatment of bunions has achieved more prominent and reliable results than before. However, there are some problems that have arisen that have troubled many patients, especially the female patients who have a high incidence, mainly in: 1. It is difficult for the majority of patients to choose. 2, minimally invasive and traditional surgery, making it difficult to choose With the progress of surgical technology, the application of minimally invasive concepts and techniques in trauma and orthopedic surgery is an irreversible trend in the medical world, foot and ankle surgery is hardly an exception. There have been at least 130 different types of bunion surgery over the centuries, each of which has had its share of successes and lessons that have left doctors scratching their heads. 100-year-old Keller’s procedure has not been abandoned by any surgeon. It is difficult for many patients to make a decision on what procedure to choose. 3, eliminating pain and taking into account the aesthetics, whether it is a fish and bear’s paw Many young female patients who visit the clinic, the primary purpose is the aesthetics of the foot, especially in the summer when wearing shoes, slender feet and beautiful legs is the deliberate pursuit of many girls. However, there are many patients, especially elderly patients, who come to the clinic only because they can’t walk because of pain, and at this time, the condition is often more serious, and even the deformity of other toes, which makes treatment difficult and the post-operative effect poor. 4, the doctor’s choice Professional doctors never packaged, truthfully inform the patient of the surgical plan, possible problems and risks, in the patient fully informed, active cooperation with the premise, in order to obtain the smooth implementation of surgery and post-operative rehabilitation in an orderly manner. A doctor who determines the plan with just a glance at the film may be hasty in his surgical planning. At least in every case I have performed, the surgical plan was drawn up after taking weight-bearing X-rays of the patient’s foot (in the standing position) and carefully measuring parameters such as the bunion angle, intermetatarsal angle, distal metatarsal intrinsic angle, and proximal intrinsic angle of the toe bone. It is believed that doctors who are not afraid of trouble before surgery, at least in the process of post-operative rehabilitation of patients with questions, will also take the trouble to answer them. You need to fully inform the doctor of the purpose of your surgery and the results you want to achieve, and then let the doctor you trust recommend the appropriate surgical plan for you and inform you of the results expected to be achieved by the plan. Minimally invasive surgery is available for most girls in the early stages of the lesion or for bunions that occur due to the wearing of pointed shoes (European shoes), but because the health insurance system is not yet perfect, many middle-aged and older women come to the doctor only when the lesion has progressed to the point where it has to be treated. The vast majority of doctors will perform traditional surgery responsibly and aesthetically, as a matter of professional ethics and instinct.