Bunion Surgery (Bunionectomy) - Toronto Podiatrist br Sheldon Nadal Doctor of Podiatric Medicine discusses Bunion Surgery (Bunionectomy).br br Bunion surgeries fall into two major categories:br • Head procedures that treat the big toe joint. In a head procedure bunionectomy, the bone is cut just behind the joint, moved into its proper position, and fixed in place with a screw or pin. Head procedures are often used for patients who cannot be immobilized for long periods of time.br • Base procedures concentrate on the bone near or behind the big toe joint. Different types of base procedures are conducted depending on the nature of the deformity.