Why is reconstructive surgery necessary? Can't you just shave the bump?

Historcially, many surgeons would just "shave the bump" with a surgical saw, without realigning the great toe joint. The problem with this method is the recurrence rate is significantly higher, so there is a greater chance your bunion pain could come back. By utilizing reconstructive surgery, the deformity can be corrected, while properly aligning the great toe joint. This allows for a more predictable and longer lasting outcome.