90-second candidacy quiz

Think you have a bunion?

Find out if you're a candidate for minimally invasive bunion correction.

Answer 5 quick questions about your bunion. We'll tell you — based on your symptoms, severity, and goals — whether you're a strong candidate for MIS, whether to keep monitoring, or whether a different procedure makes more sense.

500+
Bunions corrected since 2008
Same day
Walking immediately in a surgical shoe
3–4 wks
Average return to regular footwear
Bunion candidacy quiz
How would you describe your bunion pain?
Pick the option that best matches a typical day.
How long have you had your bunion?
Roughly, since you first noticed the bump.
How is it affecting your daily life?
Choose what feels most accurate.
What have you tried so far?
Just the closest match — we'll get more detail at consult.
When are you hoping to address it?
No commitment — just so we can plan with you.
Want a personalized assessment?
Optional — leave your info and we'll review your answers, share next steps, and reserve a consult slot for you.
Strong candidate
Based on your answers, you're likely a candidate for MIS.
Most patients with your profile do well with minimally invasive correction. The next step is a free 30-minute consult — we'll take a weight-bearing X-ray, confirm the angle, and walk you through exactly what your procedure and recovery would look like.
Recommended next steps
  • Book a free 30-min consult — bring any prior X-rays
  • We verify your insurance before scheduling — no surprise bills
  • If you're a candidate, most patients schedule within 2–3 weeks
From the doctor

Short videos from Dr. Groysman.

Dr. Yakov Groysman walks through laser treatment, minimally invasive bunion surgery, before-and-afters, and the questions patients ask most.

See all of Dr. Groysman's shorts →
500+
Bunion procedures since 2008
98%
Patient satisfaction (internal review)
3.2 days
Average return to desk work
~4%
5-year recurrence rate
Dr. Yakov Groysman examining a patient's foot
What is a bunion?

A bunion is a bone problem — not just a bump.

A bunion forms when the big toe drifts toward the second toe and the first metatarsal shifts outward — creating that painful bony prominence on the side of the foot. Left alone, the angle keeps drifting at roughly 1–2° per year.

01

The bony prominence

That visible "bump" isn't extra bone — it's the head of the metatarsal pushing outward as the joint deforms.

02

Big toe drift

The hallux (big toe) angles toward the second toe. Over time it can overlap or push it out of position entirely.

03

Joint stress and pain

The mis-aligned joint takes the brunt of every step. Pain, redness, calluses, and limited shoe choices all follow.

Why minimally invasive

Same correction. Much smaller footprint.

Minimally invasive bunion surgery uses incisions just a few millimeters wide and live X-ray (fluoroscopic) guidance to realign the bone — then stabilizes it with small internal screws. The structural result matches open surgery, but the recovery looks nothing like it.

01

Tiny incisions

A few millimeter-sized openings instead of one long incision means dramatically less soft-tissue disruption and faster healing.

02

Less pain and swelling

Because the surrounding muscle and ligaments are barely touched, postoperative pain and swelling are substantially lower than traditional open bunionectomy.

03

Walk the same day

Most patients leave in a protective surgical shoe — weight-bearing immediately. No cast, no non-weight-bearing period, no crutches.

04

Faster return to shoes

Patients typically return to sneakers in 3–4 weeks and to dress shoes around 6–8 weeks — versus 3–4 months with traditional open surgery.

05

Cosmetically better

The scars from millimeter incisions usually fade to nearly invisible by month 6. Many patients find they no longer hide their feet.

06

In-office, local anesthesia

The procedure is done in our Manalapan office under local anesthesia — no hospital stay, no general anesthesia, no driver required.

MIS vs. traditional surgery

Two paths to the same correction.
The recovery is what's different.

Open bunionectomy still has a place — for severe deformities and complex revisions. But for the majority of bunions, minimally invasive surgery delivers an equivalent structural result with substantially less downtime.

Traditional open bunionectomy

Pre-2010 standard of care
  • 3–4 inch incision along the side of the foot
  • Hardware: 1–2 metal screws, sometimes plates
  • Plaster cast or boot for 6–8 weeks, non-weight-bearing
  • Typical return to dress shoes: 3–4 months
  • Visible scar, often pigmented

Minimally invasive bunion correction

What we do · in-office
  • Several millimeter-sized incisions instead of one long cut
  • Small internal screws hold the realignment; no cast required
  • Live fluoroscopic (X-ray) guidance throughout
  • Walking boot, weight-bearing same day
  • Return to sneakers in 3–4 weeks · scar nearly invisible by month 6
Dr. Yakov Groysman, DPM
Meet your surgeon

Dr. Yakov Groysman, DPM

Foot & Ankle Surgeon · Founder, StepWell Institute

Dr. Groysman has performed more than 500 bunion procedures since 2008, including over 1,400 using minimally invasive techniques. He trained in advanced reconstruction at the New York College of Podiatric Medicine and completed his surgical residency at the Hoboken University Medical Center.

His practice is built around a simple idea: bunion correction should be done in a way that respects the rest of your life. That means tiny incisions, same-day walking, and honest answers about what the procedure can and can't do for you.

ABFAS
Board-certified, American Board of Foot & Ankle Surgery
2008
Performing bunion correction since
500+
Bunion procedures performed
The procedure in four steps

From check-in to walking out — about 90 minutes.

Performed in our Manalapan office under local anesthesia. No general anesthesia, no overnight stay, no driver required.

Step 01

Imaging & plan

15 min

Fresh weight-bearing X-ray. You see the exact correction angle traced on your image before we start.

Step 02

Local anesthesia

10 min

Targeted ankle block numbs the foot. You stay awake, comfortable, and chatty throughout.

Step 03

Bone realignment

35–45 min

Through millimeter incisions, specialized instruments under live X-ray reshape and reposition the metatarsal — secured with small internal screws.

Step 04

Walking boot & discharge

15 min

One small bandage, a surgical shoe, and you walk out. Follow-up at day 7 to confirm alignment is holding.

See the full procedure walkthrough ›
Frequently asked

The questions we get every week.

The ones below cover ~80% of what new patients ask. There are more on the full FAQ page.

How does minimally invasive bunion surgery actually work?
Incisions just a few millimeters wide and specialized rotary instruments under live X-ray (fluoroscopic) guidance cut and realign the metatarsal bone. The correction is stabilized with small internal titanium screws. Because the soft tissues are barely disturbed, swelling, pain, and scarring are dramatically lower than with traditional open surgery.
Will my insurance cover this?
If your bunion is medically necessary (causing pain, limiting activity, or progressively worsening), the answer is almost always yes. We run a free benefits check before scheduling so you'll know your exact out-of-pocket up front.
How long is the actual recovery?
Day 1–3: mild ache that responds to over-the-counter ibuprofen for most patients. Week 1: back to office or remote work. Week 4: regular sneakers. Week 6–8: dress shoes and full exercise.
Is there permanent metal in my foot?
Yes. The MIS technique uses small medical-grade titanium screws to hold the realignment while the bone heals. They're typically left in place permanently, don't set off airport scanners, and cause no day-to-day issues for the vast majority of patients.
Can both feet be done at once?
Yes — bilateral procedures take about 75 minutes total and recovery is similar to single-foot. Most patients walk out the same day. Some prefer to do one foot at a time, 2–4 weeks apart, so they always have a "good" foot. We'll talk through what fits your life.
Am I a candidate if my bunion is severe?
In most cases, yes. MIS can treat mild, moderate, and many severe bunions. A small percentage of cases — those with significant joint arthritis or a very wide intermetatarsal angle — are better served by an open technique. We'll tell you honestly which one applies to your foot, before you leave the consult.
See all FAQs ›

What Our Clients Are Saying About
Dr. Groysman

Free 30-minute consult

Take The First Step.

Meet Dr. Groysman, see your foot on his screen, and walk out with a clear answer about whether you need surgery, when, and what it'll cost. No pressure, no follow-up sales calls.

Call us today
(201) 367-2125
Mon–Fri · 8a–6p · Sat by appointment