Semi-metacarpal bone graft reconstruction surgery is one of the surgical options for treating bunions, and it is the main option we use nowadays for treating bunions. The surgery is divided into two phases, and Kirschner’s pins will be inserted into both phases after the surgery. The first stage of hemi-metacarpal bone graft reconstruction surgery involves moving the bone, which is then immobilized with Gram pins so that the metacarpal bone can heal better, which usually takes about three months, depending on the situation. After the bones have healed, the second stage of surgery is to rebuild the function of the thumb so that the thumb can be moved. This time, the time of immobilization with Gerhardt’s needles will be shorter, usually three to four weeks, depending on the situation. After the two-stage surgery the child will be able to start functional exercises and slowly be able to do some things. Will my child be in pain when the Gramoxone injection is given? The Gramoxone injection is given while the child is under anesthesia, so the child feels no pain. There is a little pain when the needle is pulled out, and in many cases the needle is pulled out before the child reacts. If your child cries during the Gramoxone injection, it may be because he or she is afraid, so parents should try to calm him or her down.