The current incidence of bunions is increasing year by year, and patients’ requirements for aesthetic and pain-free foot are also increasing. The popularization of science and the demonstration of some successful surgical patients have led to a significant increase in bunion surgery in recent years, and the number of outpatient and network consultations has also increased significantly. Some patients are not suitable for minimally invasive surgery at all. Patients with heavy bunion deformity, especially those with walking pain and poor joint alignment, are not recommended to choose minimally invasive surgery. 2, minimally invasive or not is relative, if only the skin incision is small, blind or unskilled operation, may be more internal damage, and even injury to the vascular nerve, causing long time toe numbness and other problems, and relatively large incision, can be operated under direct vision, osteotomy position angle to be more precise, vascular nerve can be effectively avoided, the damage is smaller, but only the scar is larger, affecting the aesthetics. 3, now the incision surgery is also reducing the incision, has been able to reduce the incision to about 5cm, and then use some drugs to prevent scarring, the appearance of the impact is not significant. 4, bunion surgery is a delicate job, pre-operative X-ray film to carefully analyze, develop a surgical plan, it is recommended that patients go to hospitals with foot and ankle specialists, rather than suggesting that we go to some large tertiary hospitals without foot and ankle specialists, after all, this surgery is very different from those lumbar spine and joint surgery. 5, function, painless, no recurrence, no complications, these should be the first, whether it is a small incision or minimally invasive, or do not look too heavy.