The ultimate goal of Hallux valgus (bunion) surgery is to restore the normal shape and biomechanics of the foot in order to reduce pain and allow the patient to return to wearing normal shoes. Though non-surgical treatments like using wider shoes, topical anti-inflammatories, and toe separators can be helpful, it will not make the bunion smaller and the goal is to help alleviate pain. Patients who continue to have pain, despite non-surgical treatment may need surgical intervention to the relieve pain. By using a minimally invasive percutaneous approach to treat Hallux valgus we can decrease surgery time and post-operative pain, allows us to operate both feet with very reproducible results and decreased probability of complications, and allows patients to weight bear right away (immediately post-op). Percutaneous bunion surgery involves performing an osteotomy (bone cut) of the distal metatarsal to correct the underlying deformity (it does not involve removing a bump).