Bunions are characterized by a protrusion of the medial side of the big toe, sometimes red, swollen and painful due to friction from shoes; the big toe deviates to the outside, and in severe cases the second toe “rides” on the big toe. These patients sometimes have pain not only in the big toe, but sometimes also in the sole of the foot and the formation of “calluses”. It can also be associated with other foot deformities: flat feet, hammertoes, etc. In fact, there are many causes of exostosis, such as genetics, abnormalities in the bony and ligamentous structures, and inappropriate shoes, which can cause or aggravate it. Relatively speaking, women have a higher incidence due to weaker ligamentous structures and frequent wearing of high heels with pointed toes. Prevention is based on the use of appropriate shoes, muscle training of the toes, and wearing special orthopedic braces. If conservative treatment is not effective, surgical treatment is required. There are many different types of surgical procedures, which are selected and developed according to each patient’s specific situation, the angle of deformity on x-ray, the amount of movement, and aesthetic criteria. However, it is important to remember that ectropion surgery is not plastic surgery, and there is no need to take surgical treatment for the sake of a simple beautiful appearance. As the ectropion progresses, a mass begins to form over the medial joint of the big toe: this bony bump on the medial edge of the metatarsal bone is called a bursitis. Bursitis is hereditary, but can also be caused or aggravated by shoe wear. Bursitis is common in women and rarely occurs in non-shoe wearers. Once the bursitis has developed, the valgus deformity will slowly worsen over time. The management of bursitis depends entirely on the degree of discomfort it causes, and since [the pain of bursitis is always aggravated by shoe wear, its symptoms often depend on the style and size of the shoe worn. However, the pain and discomfort varies from person to person. Some people have very mild bunions, but they are uncomfortable because they prevent the patient from wearing shoes. Other patients have a very pronounced deformity, but the deformity does not restrict the movement of their foot. In fact, there are only two ways to treat capsulitis: either change the shoe or change the foot. Given the style of the shoe, it is clear that men are more likely to choose to change their shoes than women. Once the bursitis is painful and bothersome, surgery is recommended. There are many different procedures that can be performed to treat bursitis, and the final decision on which procedure to perform will be based on the degree and size of the bursitis deformity, the degree of arthritis in the big [toe], and the size of the space between the first and second metatarsal, the intermetatarsal angle (IMA).