Foot surgery—especially for bunions—can seem intimidating, particularly when it comes to recovery time and post-op pain. The good news is that minimally invasive bunion surgery (MIS) is changing the game. This advanced technique offers a faster, less painful recovery with smaller incisions and better cosmetic results.

At Iowa Ortho, we’re proud to offer this modern approach to bunion correction. Here’s what you should know about the MIS bunion surgery process and why it might be the right option for you.

Benefits of Minimally Invasive Bunion Surgery

Compared to traditional bunion surgery, minimally invasive bunion surgery offers several key advantages:

• Less damage to soft tissues
• Reduced post-op pain
• Faster return to normal activities
• Minimal scarring

Patients often report improved comfort and a smoother experience throughout their recovery process.

How the MIS Procedure Works

Here’s a step-by-step look at what to expect during your minimally invasive bunion surgery:

1. Ankle-Block Anesthesia – Your foot will be numbed to keep you comfortable throughout the procedure.
2. Small Incisions – Tiny “keyhole” incisions are made to access the affected bone near the bunion.
3. Specialized Instruments – Your surgeon uses precision tools to cut away bone growth and release tight soft tissues.
4. Realignment – The joint of the big toe is realigned using pins, screws, or both to maintain correction.
5. Closure – The small incisions are closed with stitches and covered with a sterile dressing.

Types of Fixation Used in MIS

Depending on your case, your surgeon may use one of the following fixation methods:

• Pin Fixation – A pin is inserted to hold the toe straight. It will temporarily extend from the toe and is removed in-clinic after about four weeks, usually with minimal discomfort.
• Screw Fixation – Small screws are placed internally to hold the corrected bone structure. These may remain in place or be removed later, if needed.
• Combined Pin/Screw Fixation – Some patients may benefit from both methods. The pin is removed around week four, while the screw remains to support ongoing stability.

Outpatient Surgery with Immediate Weight-Bearing

One of the biggest benefits of minimally invasive bunion surgery is that it’s typically performed as an outpatient procedure—meaning no overnight hospital stay. Most patients can walk immediately in a special post-op shoe, returning to light activity sooner than with traditional surgery.

This quick return to mobility makes MIS an appealing option for active individuals who want minimal disruption to their daily lives.

Is MIS Right for You?

While minimally invasive bunion surgery offers many benefits, it’s not right for everyone. It’s essential to consult with a specialist to determine the best treatment based on your condition, lifestyle, and goals.

At Iowa Ortho, our experienced foot and ankle specialists will evaluate your bunion and help you decide if MIS is the right choice for your recovery and long-term foot health.

Schedule a Consultation

If you’re living with bunion pain or considering minimally invasive bunion surgery, we’re here to help. Call Iowa Ortho at 515-247-8400 or schedule an appointment online to meet with one of our specialists and explore your options.