Bunions and hammertoes are the result of your inherited bone structure. Over time, with use and abuse, the bones shift in position and create the hammertoe and bunion deformity. It involves a change in the bone structure and is associated with arthritis of the joint. X-rays need to be taken to evaluate the extent of the deformity. The treatment options are then discussed and explained in full detail. Mild deformity with pain can sometimes be treated with orthotics, modification of shoes, and padding. More severe deformity with pain may need surgical intervention. If a surgical option is considered, it is important to remember that bunion surgery is considered an elective surgery.