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.

Después de muchos meses con dolor en mi pie izquierdo , gracias a la atención excepcional del Dr Israel san Roman he vuelto a poder andar sin molestia . Recomendable 100% un equipo excelente
Response from the owner:¡Muchísimas gracias por tu reseña, Vane! 💙 Después de tantos meses con dolor en tu pie izquierdo, nos alegra enormemente saber que ahora puedes volver a andar sin molestias. Ese es precisamente nuestro objetivo: ayudarte a recuperar tu calidad de vida lo antes posible 👣 El Dr. Israel San Román y todo el equipo te agradecen de corazón tu confianza y tu recomendación al 100%. Comentarios como el tuyo nos motivan a seguir trabajando con la máxima dedicación cada día. Aquí nos tienes para lo que puedas necesitar en el futuro 😊✨
I had a minor foot surgery (hammer toe correction) at Clínica San Román in September 2025, and it was an excellent experience.

Dr. Israel San Román Sirvent, who performed my surgery, is not only highly skilled but also deeply committed to doing his work with precision and care. You can truly feel that he wants to achieve the best possible result for each patient.

I also had the pleasure of meeting his father, Dr. José Manuel San Román Pérez, who seemed sincerely proud to see his long experience being passed on to his son — a beautiful legacy of medical excellence.

The entire team — assistants, nurses, and staff — were kind, attentive, and very professional. The procedure was almost painless, and recovery went smoothly from the very first days.
In fact, the doctor prescribed me paracetamol, but I barely needed to take it because I experienced no real pain.

It was a genuinely positive and reassuring experience from start to finish. I’m deeply grateful to Dr. Israel, Dr. José Manuel, and the whole team for their care, professionalism, and human warmth.
Response from the owner:Thank you very much for your detailed and generous review, Ibrahim. It was a pleasure to accompany you throughout your hammer toe correction surgery and recovery process here at Clínica San Román. Knowing that everything went smoothly, that the procedure was practically painless, and that you barely needed any paracetamol is exactly the type of outcome we work for every day. Dr. Israel San Román and the whole team truly appreciate your words about the precision, care and attention you felt during each step. We are also very grateful for your mention of Dr. José Manuel and the family legacy behind the clinic — we are proud to continue his path in minimally invasive foot surgery with the same dedication to medical excellence and humane care. Thank you again for your trust and for recommending us. We remain at your disposal for any follow-up or future care you may need. Warm regards from Dr. Israel, Dr. José Manuel and the entire Clínica San Román team.
Me operé de juanetes en Clínica San Román y absolutamente se lo recomiendo a todo el mundo. No sabemos lo importante que es la salud podológica hasta que no tenemos bien los pies. Amén de la estética, que ahora me sientan perfectos todos los estilettos, mocasines o sandalias de cualquier tipo. Antes lo tenía que haber hecho!
Con la técnica que utilizan apenas hay 24-48 de “molestias”, ni siquiera dolor y no queda ningún tipo de marca o cicatriz.
SE LO RECOMIENDO A TODO EL MUNDO.

Tanto el trato del doctor como de todo su equipo es fabuloso desde el primer hasta el último momento.
Response from the owner:Muchas gracias por la reseña, Amparo 🩵 Amparo, ha sido un verdadero placer acompañarte en tu cirugía de juanetes y en todo el proceso de recuperación. Saber que ahora puedes usar tus estilettos, mocasines y sandalias sin dolor y con total comodidad nos llena de alegría 😊 En Clínica San Román trabajamos cada día para que la cirugía mínimamente invasiva del pie permita una recuperación rápida, con pocas molestias y sin cicatrices visibles, tal y como comentas. Tu experiencia es el mejor ejemplo de que cuidar la salud de los pies mejora tanto la calidad de vida como la parte estética 👣 Gracias por confiar en el Dr. San Román y en todo el equipo, y por recomendar nuestra clínica “a todo el mundo”. Seguiremos aquí para lo que puedas necesitar en el futuro. 🙌✨
Dr Israel is the best foot doctor i ever seen. He's passionate about his work and has a lot of energy. I am so happy with his results. No other foot doctor what i had before can do this. He is amazing he did great work! His team Carla ,Maria and the rest are fantastic. His father is a wonderful man. I think many foot doctors in the Netherlands are yealous about him. I 've had 20 bad foot sugeries in the Netherlands. They did a terrible job. I'm so glad to find this foot clinic San Roman. The location is easily accesible. It's in the best spot in Alicante! Thanks so much!!!
Response from the owner:Hi Maryam, Thank you so much for your incredibly kind and heartfelt review. After everything you have been through with your feet and so many previous surgeries, it means a great deal to us that you finally feel relieved and happy with the results. Dr. Israel is truly passionate about his work, and the whole team (Carla, Maria and the rest) is delighted to know that you felt so well cared for. We will also gladly pass on your lovely words to Dr. San Román Sr. We are very happy that you chose to travel to Alicante and place your trust in Clínica San Román. Knowing that you can now walk more comfortably is the best reward for our work. We are also glad that you found our location easy to access and convenient. If you ever need anything in the future, we will be more than happy to welcome you back. Warm regards, Clínica San Román 💙
Tengo pies muy sensibles, y la experiencia fue realmente un gran alivio! Primero la recepción muy amable, luego me trato la podóloga Ana, con mucha delicadeza y profesionalidad. Fue un placer saludar al Director el Dr San Román. Absolutamente recomendable! Trato excepcional!
Response from the owner:Hola Judy, Muchísimas gracias por compartir tu experiencia con nosotros 😊. Nos alegra especialmente saber que, teniendo pies muy sensibles, sentiste tanto alivio tras el tratamiento y que desde la recepción hasta la consulta con nuestra podóloga Ana te hayas sentido bien atendida. Ha sido un placer también para el Dr. San Román poder saludarte. Comentarios como el tuyo nos animan a seguir ofreciendo un trato cercano, delicado y profesional. Gracias de nuevo por tu recomendación y por confiar en Clínica San Román. ¡Aquí nos tienes para lo que necesites en el futuro! 💙
Uitstekende goede ervaring in SAN ROMAN.Al mijn tenen werden PIJNLOOS behandeld.Super dokter.Heel goede,vriendelijke en duidelijke begeleiding van alle personeel.Overtreft mijn verwachtingen.Ben heel blij met mijn “ nieuwe” voeten.👍

Na 40 dagen op controle geweest,heel vriendelijk professioneel ontvangen door dokter Israël en zijn team.De dokter is een echte perfectionist.Ben heel tevreden.Spijtig dat ik zo lang gewacht heb om mij te laten behandelen in de kliniek.
Hartelijk dank aan Maria,Cinthia en Carla.
Response from the owner:Hallo Francine, Hartelijk dank dat u uw ervaring met ons deelt ⭐. We zijn blij te horen dat de behandeling pijnloos verliep en dat het resultaat uw verwachtingen heeft overtroffen. Bij Clínica San Román zetten wij ons elke dag in voor hoogwaardige voetzorg, met een toegewijd team dat de patiënt stap voor stap begeleidt. Wij wensen u veel plezier met uw “nieuwe” voeten 👣 en staan altijd voor u klaar wanneer u ons nodig heeft. Met vriendelijke groet, Team Clínica San Román
Ik heb in 2024 een hallux vagus operatie ondergaan. De operatie is uitgevoerd door Dr. Israël San Roman Sirvent. In samenwerking met zijn vriendelijke en zorgzame team.

Ik heb na de operatie weinig pijn gehad. En mijn herstel is voorspoedig verlopen. Ik ben erg tevreden met het resultaat. Dansen is mijn passie. Ik kan nú pijnloos dansen.

Ik ben blij dat ik voor San Roman Clínica heb gekozen. De dokter is zeer bekwaam in zijn vak. Hij kan je helpen om pijnvrij te kunnen lopen.
Response from the owner:Beste Vivian, Hartelijk dank dat u uw ervaring met ons deelt. Het is heel fijn om te horen dat u na de hallux valgus-operatie weinig pijn had en dat uw herstel zo voorspoedig is verlopen. We zijn ontzettend blij dat u uw passie – dansen – nu weer pijnvrij kunt uitoefenen. Dat is precies het resultaat waar wij als team naar streven. Dank u wel voor het vertrouwen in Clínica San Román en in Dr. Israël San Román Sirvent en zijn team. Als u in de toekomst nog vragen heeft of een extra controle nodig heeft, bent u altijd van harte welkom. Met vriendelijke groet, Clínica San Román 💙
Over the last few years the bunion pains in my left foot were getting extremely painful with gout like symptoms. After surgery at Clinica San Roman all pain has gone and I now have a straight big toe to match the right foot. The staff and doctors were very friendly, spoke good English and made me feel at ease on the day of the surgery.
The aftercare the clinic offered was superb, my toe was redressed twice and then I had a final checkup at the end of six weeks.
I live in the UK but the NHS would not treat my bunion. I looked at private surgery in the UK and realised that for the same price I could have the surgery done in Spain, stay in an apartment for six weeks and enjoy heavenly weather.
I highly recommend Clinica San Roman.
Response from the owner:Dear patient, Thank you very much for taking the time to share such a detailed review. We are delighted to hear that your pain has disappeared and that you are happy with the alignment of your big toe after surgery at Clínica San Román. Our whole team strives to provide clear communication, a welcoming environment and thorough follow-up care, so it is very rewarding to know that you felt well looked after and at ease on the day of surgery and during your recovery. It means a great deal to us that you chose to travel from the UK and place your trust in our clinic for your bunion surgery. We hope you continue to enjoy walking comfortably and staying active for many years to come. If you ever need anything in the future, we will be very happy to assist you again. Warm regards, Clínica San Román 😊
Todo muy bien,profesionalidad dedicación y un trato cariñoso con los pacientes,Israel el médico cirujano y su equipo de enfermeras no descuidaron ni un solo detalle durante todo el proceso de la intervención quirúrgica,ahora solo quedan las revisiones periódicas y agradecer el trato tan cordial hacia nosotros,muchas gracias de Anamaria y Luis desde Huelva.
Response from the owner:Hola Luis y Anamaria, Muchas gracias por sus amables palabras 🙏. Nos alegra saber que durante todo el proceso quirúrgico se sintieron bien atendidos y acompañados. El Dr. Israel San Román y nuestro equipo de enfermería ponen todo su empeño en cuidar cada detalle para que la experiencia sea lo más segura y confortable posible. Les agradecemos la confianza depositada en nuestra clínica y será un placer seguir atendiéndoles en las revisiones periódicas. Un cordial saludo, Equipo de Clínica San Román 👣
Heel goede ervaringen in deze kliniek. Een paar geleden aan mijn linkervoet geopereerd en 5 maanden geleden rechts. Door ernstige artrose had ik een hallux rigidus waar in Nederland alleen behandeling is, met daarna maanden revalideren, wordt er hier op een andere invasieve manier geopereerd en kun je daarna zonder gips lopend de deur uit. Echt een uitkomst met zeer goed resultaat.
Klein minpuntje, altijd wel lang wachten
Response from the owner:Hallo Ria, Hartelijk dank voor het delen van uw ervaring ⭐. Het doet ons veel plezier te horen dat beide operaties een goed resultaat hebben opgeleverd en dat u zo snel weer mobiel was. Ons doel is altijd om patiënten een veilige en minimaal invasieve behandeling te bieden, zodat het herstel zo comfortabel mogelijk verloopt. Wij begrijpen dat het soms vervelend kan zijn om wat langer te moeten wachten, en wij doen ons best om dit te verbeteren. Bedankt voor uw geduld en voor uw vertrouwen in onze kliniek. Met vriendelijke groet, Team Clínica San Román 👣
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.