Surgery is always an option in the removal of bunions, but it should be the last possible solution. Those that have bunions should remember that surgery is not always successful and it can be very painful. They should also remember that the surgery does not guarantee that you will be able to wear the shoes that you desire; the surgery is designed to alleviate the pain nothing else. Never wear the same shoes twice in a row. If you wear your favorite pumps on Monday, wear another pair on Tuesday. This will allow your feet to go to another position for at least eight hours. When treating bunions, the initial approach is conservative therapy of orthotics, padding, and strapping. These treatments are similar to the concept of putting the napkins under the unsteady table to make it less hypermobile. But, at some point the bunion gets to the point where surgical correction is necessary. Just as there is probably a dozen ways to take the unstable table to the shop and make it functional, there a dozen ways to correct a bunion. In milder cases, the simplest remedy would be just properly fitting shoes with a comfortable toe-fit and the use of various orthotics or accommodative padding and shielding such as corn plasters. Pain is a major symptom of bunions and is most apparent when walking or wearing shoes. Chronic pain at the base of the big toe is regularly reported. Swelling of the soft tissues, redness, and tenderness of the region at the base of the big toe can also be very problematic. Soft corns between toes, and hard corns where pressure from footwear cause irritation can develop as a result of bunions. Treatment for corns caused by bunions are available, but will continue to return until the root problem of the bunions is taken care of. Secondly, those who are in pain from bunion surgery and have problems afterwards are often those who have not followed their podiatrist's post-surgical instructions to the T. They are likely not icing often enough, elevating, staying off their feet, and taking the prescribed medications. In my career of more than 30 years, patients who follow the directions I give them have great success and recovery. Those who do not follow my instructions suffer needlessly. Most procedures involve accessing the bones and joints in question through an incision in the top of the foot. In some cases, screws, wires, stitches or plates may be used to stabilize the bones and joints. My favorite form of cardiovascular exercise was power walking. However, the pain and swelling in both my feet that occurred after only walking two or three blocks made this form of exercise unbearable. I decided to try other types of exercise and happily realized that bike riding and using the elliptical produced far less pain and swelling. While it took me a little bit of time to get adjusted to the switch, I am now just as content to ride the bike or log in some time on the exercise machine as I was walking around the neighborhood.