San Roman Clinic

Bunionette surgery

The hallux valgus deformity alters the biomechanics of the foot, causing calluses, bursitis and even early arthrosis of the first metatarsophalangeal joint. Bunion surgery has three key objectives: to correct the bony deviation, eliminate chronic pain and prevent the progression of secondary lesions.

At Clínica San Román we apply protocols accredited by the main medical organizations in podiatry and we have state-of-the-art instrumentation. Among the advantages of this surgery are the following:

Ambulatory: the patient can walk on his or her own feet immediately after surgery.

Minimal discomfort: compared to other techniques, the postoperative period is almost imperceptible.

Local anesthesia allows a faster recovery and avoids the side effects that can be associated with general anesthesia.

Millimetric incision: respectful with joints and soft tissues, it allows a quick recovery with little pain.

No external fixations: no screws or pins are required to maintain the correction.

Reduced risk of infection and optimal tissue healing.

The results are usually very satisfactory, with a high rate of improvement in pain and long-term functionality in most patients.

Operación de Juanetes

Why bunion surgery? Objectives and benefits

If you are reading this, you are probably already well aware of the discomfort caused by a bunion: persistent pain, difficulty in putting on shoes and limitations in your daily activities. Bunion surgery is designed for:

  • Eliminate chronic pain that does not improve with insoles, medication or changes in footwear.
  • Restore alignment of the big toe, preventing the deformity from progressing further and compromising other toes.
  • Improve function and quality of life: return to walking long distances, playing sports or wearing the footwear of your choice without restrictions.
  • Prevent long-term complications such as osteoarthritis, recurrent bursitis and painful corns.
  • Optimize foot biomechanics, reducing overloads in neighboring joints (ankle, knee, hip).

In short, the intervention is not only an aesthetic issue; it is the most effective tool to recover your autonomy and prevent further damage in the future.

cirugia de juanetes

When should the operation be considered?

Remember: there is no need to “wait until it hurts more”. Early surgery is usually less invasive and offers faster recoveries.

SituationRecommendation
Chronic pain that limits daily activitiesOperation advised if conservative treatment has failed
Rapidly progressive deformityEarly surgical evaluation to avoid irreversible joint damage
Associated complications (bursitis, corns, calluses, claw toes)Surgical correction to prevent skin lesions and overloads
Inability to wear regular shoesHigh indication to improve quality of life

Why is it done?

Surgery is not only aimed at relieving present pain; its true value lies in preventing the progressive deterioration that a bunion entails: osteoarthritis, claw toes, transfer metatarsalgia and even knee pain due to alteration of the mechanical axis.

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Conservative therapeutic failure > 6 months: insoles, wide shoes and physiotherapy sessions fail to reduce pain.

Progressive deformity (> 2nd per year): indicator that the bony architecture is giving way.

Recurrent bursitisand corns: signs of overpressure anticipating severe skin lesions.

Sporting demand: runners and dancers subject the forefoot to forces ∼3.5× their body weight, surgery optimizes the lever of impulse.

Bunion and Foot Deformity Surgery

Foot deformities, such as bunions, are a significant problem for many patients. At Clínica San Román, we address these conditions with an innovative technique that uses an incision of only a few millimeters, ensuring absolute respect for the joint structure. This procedure eliminates the need for screws or casts, allowing you to get back on your feet immediately, without outside assistance.

This approach not only promotes rapid recovery, but also minimizes postoperative discomfort and leaves virtually unnoticeable scars, ensuring excellent long-term results.

Preoperative evaluation at Clínica San Román

At Clínica San Román we have a highly qualified medical team led by Dr. Israel San Román Sirvent, specialist in percutaneous foot surgery, and Dr. José Manuel San Román Pérez, founder and medical director of the clinic. Our trajectory, focused on offering personalized and minimally invasive surgical solutions, has positioned us among the clinics best valued by patients. As a result, we have been recognized with the TopDoctors Awards for medical excellence and maintain a 5-star rating based on verified opinions.

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Recognized for Medical Excellence

At Clínica San Román, we have been constantly nominated for the TopDoctors Awards, a recognition of the specialists best rated by patients and by a medical committee.

Current score in TopDoctors:

TOPDOCTORS:

Based on verified patient feedback

What to expect from bunion surgery

Below is an example of a recovery schedule based on the experience of hundreds of patients successfully treated at our clinic. Although each case is unique and may require adjustments, this scheme reflects a usual and satisfactory process in a very high percentage of interventions, allowing you to plan in advance your work, family and sports schedule.

PhaseDetailsMain goal
SEM -2 → 0Medical history, blood work, radiological study in load and 3D scan of the forefoot.Optimize risk variables and set the surgical strategy.
DAY 0Regional anesthesia + sedation; surgery 45-90 min; functional dressing and immediate loading with rigid shoe.Outpatient discharge (97% of cases).
SEM 1-2Relative rest, cryotherapy, standard analgesics, control teleconsultation.Maintain pain < 2/10 in VAS.
SEM 3-6Physiotherapy: lymphatic drainage, MLS® laser and passive mobilization.Restore 80% of joint range.
MONTH 2-3Wide sports shoes, return to office work and driving.Walk 5-6 consecutive km without pain.
MONTH 4-6Start running, paddle tennis or gentle hiking under supervision.Full physical activity and medical discharge.

Surgical techniques available

operación de juanetes

Minimally invasive percutaneous operation

2 – 5 mm incisions.
Fluoroscopy-guided bone realignment.
Little bleeding, less swelling and shorter recovery: most patients walk in postoperative shoes from day one.

The benefits

– Outpatient surgery
– No scars
– Painless
– Own footwear after surgery.

Intervention time

40 minutes

Bed

2 hours

Recovery

Immediate

Anesthesia

Local

Effect

Immediate

Results

Permanent

Results and prognosis of bunionette surgery

Pain improvement rate: 90 – 95 %.
Stable radiographic correction: > 93 % at 5 years.
Recurrence: ≤ 5 % following the rehabilitation protocol and modifying risk factors.

In our series of more than 3 000 operations,
the overall satisfaction rate is 9.4/10.

resultados operacion de juanetes

What is its effectiveness?

Our prospective registry (2009-2024) reflects a 97 % satisfaction rate measured with CSQ-8 and AOFAS-Hallux. Radiographic correction is maintained > 93 % at 5 years. In addition, reoperation for recurrence is < 4 % – well below the national average (7-10 %). These results are supported by a rigid technique selection protocol and patient adherence to managed rehabilitation.

Risks of bunion surgery

No procedure is free of complications; however, our risk-reduction approach – combining WHO Checklist + digital instrument traceability – has reduced overall morbidity to 1.8%.

Potential riskPrevention/solution at Clínica San Román
Infection (< 1 %)Sterile technique, antibiotic prophylaxis, protocolized cures.
Persistent painMultimodal pain management, low power laser and early physiotherapy.
Joint stiffnessActive exercises from the 1stweek and specialized manual therapy.
Nerve injury (tingling)Minimal incisions and intraoperative anatomical mapping.
Consolidation delayMetabolic control (vitamin D, blood glucose) and, if necessary, magnetotherapy.

Recovery and rehabilitation

The key to success lies in an intensive but progressive physiotherapy plan. Our department is equipped with state-of-the-art technologies:

  • Sequential pressure therapy to improve venous return and reduce edema.
  • Neuromuscular electrostimulation aimed at maintaining the tone of the foot intrinsics.
  • Baropodometry platform where we reeducate the footprint and distribute the metatarsal load.
  • Myofascial manual therapy that releases adhesions and improves dorsal flexion of the first radius.

88% of our patients are teleworking before the third week and 72% are driving before day 40, thanks to the MIS + ambulatory functional bandaging combination.

resultados operación de juanetes

Why choose Clínica San Román

Clínica San Román has been distinguished in the Top Doctors® 2024 as the only clinic in Southeastern Spain recognized in the category “Foot Surgery”. We have a multidisciplinary team formed by orthopedic surgeons, podiatrists, physiotherapists, anesthesiologists and bilingual patient care, offering a complete follow-up with free check-ups for a year. In addition, we provide international video consultations at no additional cost for pre-assessment and follow-up. 97% of our patients would recommend us, according to our 2023 internal survey. If you dream of walking, training and putting on shoes like before, this is your moment: take the first step and find out why we are rated 9.8 out of 10.

The San Román Clinic, Alicante, Spain is in brief outstanding. I was completely impressed with their surgical technique, and customer service. The doctor and his team went above and beyond to provide me with the best operation experience ever. I’m a thoroughly satisfied patient who will be returning again, for my other foot soon. I highly recommend this foot clinic, the best in Europe. Many thanks to the whole team, it is thanks to your tireless efforts and aftercare that I can walk again without pain.
Response from the owner:Thank you so much for sharing your experience at San Román Clinic. We’re thrilled to hear that our surgical technique and customer service exceeded your expectations. Your trust and satisfaction are our greatest rewards. We’re delighted that you can walk pain-free again! 🤗 We look forward to welcoming you back soon for your other foot and providing the same warm, professional care you deserve. Thank you for recommending us as the best foot clinic in Europe. If you ever have questions or need assistance, we’re always here for you. The San Román Clinic Team ------ ESP: Muchísimas gracias por compartir tu experiencia en la Clínica San Román. Nos emociona saber que nuestro equipo y técnica quirúrgica superaron tus expectativas. Tu confianza y satisfacción son nuestra mayor recompensa. ¡Nos alegra enormemente que ahora puedas caminar sin dolor! 🤗 Será un placer recibirte de nuevo para atender tu otro pie y seguir ofreciéndote el cuidado cercano y profesional que mereces. Gracias por recomendarnos como la mejor clínica de Europa. Cualquier duda o necesidad, aquí estamos para ti. El equipo de Clínica San Román
Fui a informarme sobre las cirugía de los juanetes.me explicaron su técnica y el post operatorio y decidí operarme. Tanto la operación como después el seguimiento de las curas y revisiones perfecto. Todo el personal de la clínica un trato inmejorable.si te surge alguna duda te constestan enseguida un trato muy cercano. Todo fue perfecto. Gracias 🫂
Response from the owner:¡Hola María! Muchísimas gracias por compartir tu experiencia tan detallada y positiva. Nos alegra saber que la explicación de la técnica y el postoperatorio fueron claros, y que tanto la operación como el seguimiento de tus curas y revisiones resultaron perfectos. 😊 Tu mención al trato cercano de todo el personal nos llena de orgullo: aquí en Clínica San Román trabajamos cada día para ofrecer un servicio humano y de calidad, y leer comentarios como el tuyo nos motiva enormemente. Si en el futuro te surge cualquier duda o necesitas cualquier tipo de consejo, no dudes en contactarnos: estaremos encantados de ayudarte en todo lo que necesites. ¡Gracias de nuevo por tu confianza y por recomendarnos! El equipo de Clínica San Román
Acudí a Clínica San Román por un problema de juanetes y dedos en garra en ambos pies, deformidades de origen genético. Tras muchas consultas a traumatólogos siempre me decían que mientras no hubiese dolor mejor no intervenir. Tras mi última consulta en abril de 2024 un familiar me habla de Clínica San Román por referencia de una compañera de trabajo que quedó muy satisfecha con los resultados.
No dudé en acudir a consulta en Julio y, tras conocer a Israel y explicarme el procedimiento, me decidí a operarme en enero.
La intervención se realizó con anestesia local, los dos pies al mismo tiempo y el posoperatorio fue de lo más llevadero, apenas tuve que tomar analgésicos y no se puede hablar de dolor sino de molestias totalmente soportables. Desde el primer día se pueden apoyar los pies en el suelo e ir paulatinamente caminando.
A los 20 días me pude trasladar en tren a mi residencia habitual en Andalucía.
El personal de la clínica es encantador e Israel un gran profesional que inspira tranquilidad y confianza.
Indicar también que esta técnica mínimamente invasiva hay traumatólogos que me aseguraban que no era posible en mis pies.
Es importante acudir a especialistas con un bagaje como el de Clínica San Román.
Response from the owner:Estimada Elena, Muchas gracias por compartir su experiencia tan positiva. Nos alegra enormemente saber que nuestro enfoque mínimamente invasivo y el acompañamiento personalizado han contribuido a una recuperación cómoda y rápida. Es un placer para nosotros poder ofrecer soluciones efectivas y, sobre todo, brindar confianza y tranquilidad en cada consulta. Agradecemos especialmente sus palabras hacia Israel, quien se esfuerza día a día para que nuestros pacientes se sientan seguros y bien atendidos. Su testimonio nos motiva a seguir trabajando con la misma pasión y compromiso. ¡Gracias por confiar en Clínica San Román! Estamos siempre a su disposición. Un cordial saludo, El equipo de Clínica San Román
Very satisfied. I can directly walking after surgery bunion hallux valgus. Not much pain like i thought. Friendly and helpful Doctor also staff.
Thanks
Response from the owner:¡Muchas gracias, Ellys! 😊 Nos alegra enormemente saber que te has sentido tan bien tras la cirugía y que la recuperación ha sido mejor de lo esperado. En Clínica San Román trabajamos cada día para ofrecer una atención cercana, segura y eficaz, así que saber que te has sentido cómoda y bien atendida por nuestro equipo nos llena de satisfacción. ¡Gracias por tu confianza y por compartir tu experiencia! Te deseamos una recuperación rápida y completa. Aquí estamos para lo que necesites. -- Thank you so much, Ellys! 😊 We’re truly happy to hear that you're doing well after your hallux valgus surgery and that the recovery has been easier than expected. At Clínica San Román, we strive to provide caring, professional, and effective treatment, so it means a lot to know you felt supported by our team. Thank you for your trust and for sharing your experience! Wishing you a continued smooth recovery — we're here if you need anything.
Tras muchos años sufriendo dolor y malestar,incluso con los zapatos más cómodos, nunca me decidía a operarme por el miedo a la recuperación,pues siempre he oído que era muy dolorosa.
Pero un día conocí está clínica por internet y viendo las buenas opiniones que tenía me decidí a llamar y pedir mi cita para la operación, me dieron muchas confianza,me operaron de los dos pies el mismo día, fue muy rápido y
Salí caminando sin problemas,la recuperación fue muy rápida,y el resultado increíble, hicieron muy buen trabajo ,estoy muy contenta.

Y por supuesto destacar el buen trato y amabilidad de los doctores y todo el personal de la clínica San Roman.

Este ha sido el resultado,los dos pies de juanetes y seis dedos en garra.
Response from the owner:Estimada Paqui, ¡Muchas gracias por compartir tu experiencia con nosotros! Nos llena de alegría saber que, después de años de dolor y dudas, decidiste confiar en la Clínica San Román para tu intervención. Es gratificante saber que la operación de ambos pies fue rápida y que pudiste caminar sin problemas desde el primer momento, logrando una recuperación veloz y resultados que superaron tus expectativas. En la Clínica San Román, nos esforzamos por brindar un trato amable y profesional a cada paciente, y comentarios como el tuyo nos motivan a seguir ofreciendo lo mejor de nosotros. Tu satisfacción es nuestra mayor recompensa. Si en el futuro necesitas cualquier otra consulta o asistencia, no dudes en contactarnos. Estamos aquí para ayudarte en todo lo que necesites. Atentamente, El equipo de la Clínica San Román
Ik ben in Juli 2024 geopereerd aan mijn hallux valgus en mijn 4 klauw tenen
niks als lof over deze kliniek !!!!
de arts is heel begaan met de patiënten , een arts die zijn vakgebied kent en jaren ervaring
Het hele team is zorgzaam en geen vraag is te veel
Na de operatie zijn ze dag en nacht bereikbaar
Voor vragen
En ook bij thuiskomst is er geregeld contact
Om te weten of alles goed gaat
Vragen worden meteen beantwoord
Speciale dank aan Carla die altijd vriendelijk mijn vragen beantwoord en mij altijd meteen terug bericht!
San Roman ,dankjullie wel!
Groet van een tevreden klant
Mocht ik in Alicante zijn kom ik zeker met trots mijn mooie voet laten zien
Dank
Response from the owner:Beste Christianne, Heel erg bedankt voor het delen van jouw ervaring met ons. We zijn ontzettend blij om te horen dat jouw operatie voor hallux valgus en hamertenen een succes was en dat je je goed verzorgd voelde tijdens het hele proces. Bij Clínica San Román zetten we ons in om onze patiënten de best mogelijke zorg en aandacht te geven, en jouw vriendelijke woorden motiveren ons nog meer. We zijn blij dat je je altijd ondersteund hebt gevoeld en dat ons team, vooral Carla, je kon helpen met al je vragen. We hopen dat je volop geniet van je herstel en dat je, wanneer je weer in Alicante bent, met trots je prachtige voet zult laten zien. Nogmaals bedankt voor je vertrouwen in ons! Met vriendelijke groeten, Het team van Clínica San Román.
Great treatment of my Hallux Valgus. I had no pain at all. Which is amazing. The atmosphere at the clinic wat great. Everyone was really friendly and helpful.
Response from the owner:Thank you so much for your kind words! We are delighted to hear that your Hallux Valgus treatment went smoothly and that you experienced no pain—that’s truly wonderful! At Clínica San Román, we strive to provide a welcoming and professional environment, and knowing that you felt comfortable and well cared for means a lot to us. If you ever need any follow-up or have any questions, please don’t hesitate to reach out. Wishing you the best in your continued recovery! Best regards, Clínica San Román
Ik had over deze kliniek gehoord via social media en goede recensies gelezen. Ik ben samen met een vriendin geweest en beide zijn we op dezelfde dag geholpen en we konden allebei lopend de kliniek weer uit. Op dag 2 na de operatie liepen we al weer 8000 stappen en we hebben beide geen pijn gehad. Ik zou het zo weer doen en kan het iedereen aanraden om de operatie in alicante te doen.
Response from the owner:Hartelijk dank voor het delen van uw ervaring met ons. We zijn blij om te horen dat zowel u als uw vriend zo'n snel en pijnloos herstel hadden. In Clínica San Román streven we ernaar om minimaal invasieve chirurgische behandelingen aan te bieden die onze patiënten in staat stellen om zo snel mogelijk terug te keren naar hun dagelijkse leven. We danken u voor uw vertrouwen en aanbeveling. Mocht u in de toekomst nog een consult of follow-up nodig hebben, dan helpen we u graag en sturen we u onze hartelijke groeten vanuit Alicante! Met vriendelijke groet, Kliniek San Roman
Muy contenta me han dado solución a un problema que llevo arrastrando años
Response from the owner:Estimada Sonia, Muchas gracias por compartir tu experiencia con nosotros. Nos alegra enormemente saber que hemos podido darte solución a un problema que llevabas arrastrando durante años. Nuestro objetivo siempre es mejorar la calidad de vida de nuestros pacientes, y leer comentarios como el tuyo nos motiva a seguir trabajando con dedicación y compromiso. Si necesitas cualquier cosa en el futuro, no dudes en contactarnos. Estamos aquí para ayudarte. Un cordial saludo, El equipo de Clínica San Román
The procedure was straightforward and caused minimal discomfort. My recovery was smooth and uneventful at home. What stood out the most was the attentive care I received throughout the entire process, from the first appointment to the final check-up. I highly suggest this clinic to anyone seeking treatment for their bunions.
Response from the owner:Thank you so much for taking the time to share your experience with us. We’re delighted to hear that the procedure was straightforward and that your recovery was smooth and uneventful. Providing attentive and personalized care at every stage of treatment is our top priority, so it’s truly rewarding to know we met your expectations. We greatly appreciate your recommendation and the trust you placed in us to treat your bunions. Please don’t hesitate to reach out if we can assist you with anything else in the future. Wishing you the very best and excellent health! Warm regards, The Clínica San Román Team
SAN ROMÁN CLINIC

Specialists in bunion surgery


We want you to get a closer look at how we work and what you can expect when you visit us. In this video we show you our facilities, our medical team and how we approach each case in a personalized way.

We are specialists in the diagnosis and treatment of all types of foot problems, from common ailments to surgical interventions with minimally invasive techniques. We are committed to close attention, unhurried and focused on you.

If you have discomfort when walking or are looking for a definitive solution for your feet, this is your place. Press play and get to know us.

The best care in foot surgery and podiatry

Clínica San Román combines experience with the latest technology to offer you the highest quality treatments in podiatry and foot surgery.