Bounion percutaneous surgery A bunion is a bony bump that forms at the base of your big toe, where it forms a union with a foot bone called the first metatarsal

Many people don’t need a general anesthetic during bunion removal surgery. Instead, you’ll get a local anesthetic called an ankle block. An ankle block makes you numb below the ankle, but you’ll be awake for the surgery. 

Once you’re completely numb, the surgeon will remove the bunion and make other repairs to your foot. Some of the most common types of bunion removal procedures are osteotomy, exostectomy, and arthrodesis. 

• In an osteotomy, your surgeon will cut your big toe joint and realign it to a normal position.
• In an exostectomy, your surgeon will remove your bunion from the joint without performing an alignment.
• In an arthrodesis, your surgeon will replace the damaged joint with screws or metal plates to correct the deformity.

Your surgeon will bandage your foot after the surgery and take you to the recovery room. Your blood pressure and heart rate will be monitored as you wait for the anesthesia to wear off. 

Generally, you can go home after a couple of hours in recovery.