A bunion is the bony bump on the inside of the big-toe joint, but the real problem sits in the alignment of the bone behind it (the first metatarsal). We correct it by precisely cutting the bone (an osteotomy) and shifting it back into a corrected position, then holding it there with small screws while it heals. Modern minimally invasive (keyhole) bunion correction performs this through three or four small skin incisions, leaving smaller scars and typically allowing a faster return to normal shoes. Traditional open scarf or chevron osteotomy remains the right operation for moderate-to-severe deformities or for cases where the alignment problem is more complex — both work very well, and choice of technique is matched to the specific deformity on weight-bearing X-rays. Tailor’s bunion is the same problem at the 5th toe joint and is fixed in the same family of ways. Where the deformity comes from instability higher in the foot (a hypermobile first ray), a Lapidus procedure is added to fuse the unstable joint and stop the bunion coming back.