Though some symptoms of Brachymetatarsia can be managed with non-surgical options like supportive shoes, orthotics, and activity modifications, some patients chose to undergo surgery to correct the condition. The aim of the surgery is to lengthen the metatarsal bone which can be done using Acute Lengthening or Gradual Lengthening with an external fixator called a Mini-Rail. The choice of the procedure depends on the length that is to be achieved. With Acute Lengthening the bony alignment is usually set during a single surgery. During Gradual lengthening the corrections are performed over several weeks or months and may involve 1-2 surgical procedures to apply and remove an external fixator device.