Many people think that bunions are simply bumps to be removed. Exotectomy, or bumpectomy, is the removal of the bump on the toe joint. It is performed only for an enlargement of the bone with no drifting of the big toe. This procedure is seldom used because it rarely corrects the cause of the bunion.
Minimal incision techniques that use a drill bit to shave the joint are not recommended. Forefoot mechanics are very sensitive – procedures that simply grind the bump away actually just weaken the joint and ultimately increase the deformity. An inadequate procedure will result in a bad outcome.