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residual swelling slowly resolves.","restrictions":["Impact sports only when cleared by surgeon"]}],"rehabilitation_days":{"min":42,"max":90,"unit":"days","qualifier":"Ordinary functional recovery to comfortable walking in normal supportive shoes after primary osteotomy-based correction."},"result_longevity":"Correction is often durable, but recurrence can occur over years depending on technique, deformity severity, foot type and footwear; no guaranteed lifetime result.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Repeat surgery for recurrence, malunion, nonunion or hardware problems within about 5 years."},"scars":"Usually a linear scar along the inner side of the big toe joint, a few centimeters long; minimally invasive techniques leave small incisions. Scars typically fade over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation per foot; the other foot, if affected, is usually done as a separate procedure."},"stages":[{"code":"surgery","label":"Hallux valgus correction surgery (one foot)","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery"}}],"qualifier":"Single-stage unilateral primary correction."},"success":{"metric":"Patient satisfaction with bunion correction","value":85,"unit":"percent satisfied","horizon":"1-2 years after surgery","population":"Adults with symptomatic moderate hallux valgus after primary osteotomy-based correction","evidence_status":"limited"},"techniques":[{"name":"Distal metatarsal osteotomy (e.g., Chevron)","suits_whom":"Mild to moderate deformity","recovery":"Protected walking in a postoperative shoe for about 4-6 weeks."},{"name":"Scarf osteotomy","suits_whom":"Moderate to severe deformity","recovery":"Protected walking about 6 weeks, full recovery 3-6 months."},{"name":"Proximal osteotomy or Lapidus (first TMT fusion)","suits_whom":"Severe deformity or hypermobility of the first ray","recovery":"Longer protection, often 6 weeks or more of limited weight bearing."},{"name":"Minimally invasive osteotomy","suits_whom":"Selected mild to moderate deformities","recovery":"Smaller incisions; protected walking often 4-6 weeks."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.75,"max":2,"unit":"hours","qualifier":"Operating time for one foot, primary osteotomy-based correction."},"initial_assessment_documents":["Weight-bearing foot X-rays, front and side views","Photos of both feet standing, front and back","Photo of the bunion from the side","List of blood thinners","Previous foot surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days for first wound check and suture removal. Later reviews can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the surgeon is fully trained in the procedure you want","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"It can be difficult to find out if a surgeon is fully trained in the procedure you want.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check the facilities and standards at the clinic or hospital that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Being pushed into quick decisions by forceful persuasion or time-limited offers","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Treatment advice given by a travel agent, sales representative or administrator","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or administrators.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"The clinician who will carry out the treatment cannot be spoken to before booking","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Speak directly to the doctor, dentist or nurse who will be carrying out your treatment before you book your trip.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F4","text":"The surgeon you consulted may not be the one who performs the operation","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Dressing moistened with blood or drainage","urgency":"contact_clinic","general":false,"source":{"url":"https://www.orthoinfo.org/en/treatment/bunion-surgery","host":"orthoinfo.org","quote":"Your dressing is moistened with blood or drainage.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Persistent warmth or redness around the dressing","urgency":"contact_clinic","general":false,"source":{"url":"https://www.orthoinfo.org/en/treatment/bunion-surgery","host":"orthoinfo.org","quote":"Persistent warmth or redness around the dressing","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Significant swelling in the calf","urgency":"contact_clinic","general":false,"source":{"url":"https://www.orthoinfo.org/en/treatment/bunion-surgery","host":"orthoinfo.org","quote":"Significant swelling in the calf above the treated foot","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever higher than 101 degrees Fahrenheit","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/articles/bunion-correction-surgery","host":"my.clevelandclinic.org","quote":"Fever higher than 101 degrees Fahrenheit (39 degrees Celsius)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor can compare imaging with later checks and follow-up","document":"copies of x-rays and scans","source":{"url":"https://travelhealthpro.org.uk/factsheet/59/medical-tourism-travelling-for-treatment","host":"travelhealthpro.org.uk","quote":"Travellers should ensure they have copies of all overseas medical records, including x-rays and scans, before departure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your bunion pain is not severe or affecting your life much","name":"Insoles or orthotics for bunions","source":{"url":"https://www.nhs.uk/conditions/bunions/","host":"nhs.uk","quote":"things you can buy or have specially made to reduce bunion pain, such as insoles (orthotics)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"distal-metatarsal-osteotomy","name":"Distal metatarsal osteotomy (e.g., Chevron)","how_it_works":{"text":"The doctor makes cuts in the bones to realign the joint","source":{"url":"https://www.orthoinfo.org/en/treatment/bunion-surgery","host":"orthoinfo.org","quote":"In an osteotomy, your doctor makes cuts in the bones to realign the joint.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"scarf-osteotomy","name":"Scarf osteotomy","how_it_works":{"text":"A bone is cut and moved into its correct position","source":{"url":"https://www.kentcht.nhs.uk/leaflet/bunion-scarf-and-akin-osteotomy/","host":"kentcht.nhs.uk","quote":"An osteotomy is an operation where a bone is cut and moved into its correct position.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"proximal-osteotomy","name":"Proximal osteotomy or Lapidus (first TMT fusion)","how_it_works":{"text":"The first metatarsal is fused to the adjacent cuneiform bone","source":{"url":"https://www.kentcht.nhs.uk/leaflet/bunion-lapidus-and-akin-operation/","host":"kentcht.nhs.uk","quote":"A Lapidus arthrodesis is where the first metatarsal and neighbouring bone, the cuneiform, is fused.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"minimally-invasive-osteotomy","name":"Minimally invasive osteotomy","how_it_works":{"text":"Bone is cut with 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