Bunions are multifactorial in etiology. There is a large genetic component to it as well as activity and shoe gear acceleration to the process. We see a lot of people who come in to discuss bunions both from a conservative standpoint and a surgical standpoint. From a conservative standpoint, sometimes a larger shoe does make a difference. However, this can accelerate the bunion process by allowing more room for your foot to accommodate. From a surgical standpoint, it is important to seek consultation from a bunion specialist. There are multiple different procedures that can be performed. Proper procedure selection is the most important to decrease the likelihood of recurrence. The Washington Bunion Center performs approximately 3-6 bunions every Monday. In addition, we performed thousands of bunionectomies and perform the surgery on site to maximize outcomes and decrease the costs.