I have bunions and one thing that I didn’t know is that bunions can move your bones out of alignment which puts you more at risk for sesamoid issues (effectively the knee cap of your big toe). I spent most of last year in pain in the ball of my foot and assumed it was just my bunions and arthritis. It turns out that I had sesamoiditis which then led to one of my sesamoids breaking. These bones are tricky to heal given their limited blood supply. It definitely didn’t help that I delayed getting treatment. Four months after the sesamoid breaking, it still hasn’t healed. So take care of your feet and realize that bunions can create other issues in your feet. If you do need surgery, I always recommend meeting with at least 3 doctors. As someone else mentioned, there isn’t one standard surgery and I am always amazed at the variety of answers I get when I see multiple doctors for the same issue. This comes from someone who has had both great and devastating surgeries.