Bunion surgery involves correcting a deformity below the big toe. This may involve removing parts of bone and correcting the alignment of bones and joints of the big toe. The scarf and akin procedure is used in moderate bunion deformities. It allows early weight-bearing due to the stability of the specialised bone cuts and titanium screws used to fix the bone alignment in the new position. This corrective bunion procedure is one of the most popular operations globally.