Today, we encountered another case of failed small incision bunion surgery in an outside hospital. The patient is 50 years old, 5 years after the small incision on both feet, and has been walking painfully on both feet for 5 years, which severely affects daily life. The patient’s first metatarsal, which should be very thick, is now severely shortened. This is due to the use of a grinding drill to cut the bone during the small incision, which caused much more bone loss than the conventional incision. Looking at the metatarsophalangeal joints of the two bunions, they were removed beyond recognition, leaving a thin crooked neck topped with a large cap and mismatched and crooked. The articular surfaces of the metatarsals were pretty much removed, leaving an unsmooth lateral condylar-like portion capped under the distal articular surface. After looking at it and sucking in my breath, how can this, how can this case be revised?! This joint is too difficult to preserve, and there is no room for preservation. And the patient is so young. The first metatarsal is too short and the weight is shifted to the other toes, causing pain; the joint surface of the first metatarsal is too severely damaged, causing pain and not easy to revise. This is a very typical case, which reflects the most common problems of the small incision approach