Dr Ling 02 9650 4782       Dr Lunz 02 9650 4835
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  • Dr Jeff Ling - Sydney Foot & Ankle Surgeon
  • Foot & Ankle Surgeon Sydney
  • Dr David Lunz - Foot & Ankle Surgeon


Dr Jeff Ling & Dr David Lunz

Sydney Orthopaedic Specialists: Foot & Ankle Institute

“Bunions” medically know as “hallux valgus,” refers to the bump at the base of the big toe and the deviation of the great toe away from the centre of the body. Bunions are caused by a combination of shoe wear and heredity, but heredity plays the most important role.

Most patients are able to accommodate the bunion for a long time by adjusting their shoes to accommodate the bunion, but it may eventually lead to other problems, especially a transfer lesion to the second toe where the bunion does not bear enough weight and your second toe becomes hammered and sometimes dislocated.

Problematic bunions may cause pain, affect your ability to wear certain shoes, and significantly affect your lifestyle, and at this point, people often contemplate surgery.

Surgery & Recovery

We perform the Scarf procedure because it allows early postoperative weight-bearing and provides excellent correction of the bunion. It has become the gold standard of care amongst orthopaedic foot and ankle surgeons around the world. The Scarf procedure is a Z-shaped cut of the first metatarsal bone. After the bone is cut, it is realigned, and held with two or three screws. You are able to get up and walk on your heel and the side of your foot with crutches immediately in the post-op period and you are usually able to return to a sneaker by six weeks. The Scarf procedure is combined with a distal soft tissue procedure, which includes shaving a small portion of the bump and realigning the tendons and ligaments around your big toe joint to straighten them. The procedure is performed under general anaesthesia, and a local anaesthetic block at the ankle is given for postoperative pain relief. You will be discharged home the day after surgery.

The vast majority of patients are happy with the results of their surgery and are able to return to their previous function and lifestyle, and this is supported not only by our experience, but also by the published medical literature on the subject.


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Bunion on X-ray

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Before & After Bunion Surgery

Any surgical or invasive procedure carries risks. The information provided here is for general educational purposes only. Patients should discuss their particular situation with the doctors of Sydney Orthopaedic Specialists: Foot & Ankle Institute.