San Roman Clinic

Bunion Surgery in Alicante

The hallux valgus deformity alters the biomechanics of the foot, causing calluses, bursitis and even early arthrosis of the first metatarsophalangeal joint. Clínica San Román’s bunion surgery in Alicante pursues three key objectives: to correct the bony deviation, eliminate chronic pain and prevent the progression of secondary lesions.

In our clinic 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.

Consultation without obligation
bunion surgery alicante

Why bunion surgery in Alicante? Objectives and benefits

If you are reading this, you are probably already familiar with 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.

before and after bunion surgery

When should bunion surgery 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 bunion surgery performed?

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.

Medical indications

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 in Alicante, Spain

Foot deformities, such as bunions, are a significant problem for many patients. At Clínica San Román in Alicante 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 stand up 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 in Alicante, Spain

In our clinic 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.

Dr. Israel San Román Sirvent

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Dr. José Manuel San Román Pérez

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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 in Alicante

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 in Alicante

bunionette surgery in alicante

Minimally invasive percutaneous surgery

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
– Minimal scarring (2-5mm)
– Minimal and controllable discomfort
– Own footwear after surgery.

Intervention time

40 minutes

Hospitalization

2 hours

Wandering

from day one

Anesthesia

Local

Visible results

Immediate

Results

Durable in most patients

Stabilization Technique without External Fixation

How do we achieve correction without screws and needles?
At Clínica San Román we apply a percutaneous surgery protocol that, in selected cases, allows bone consolidation without the need for metallic implants. This approach is based on three fundamental pillars:

  1. Precision osteotomies guided by fluoroscopy
    We perform millimetrically calculated bone cuts that allow the realignment of the first metatarsal with minimal alteration of the periosteum (membrane that covers the bone and favors natural consolidation).
  2. Specialized functional bandage
    We apply a specific compressive bandage that maintains the correction during the first 4-6 weeks, the critical period of initial consolidation. This bandage allows immediate controlled loading, which stimulates bone callus formation.
  3. Progressive offloading protocol
    Rigid post-surgical footwear distributes forces in a way that promotes stability without compromising circulation or consolidation.

Results and prognosis of bunionectomy surgery in Alicante

– Pain improvement rate: 90 – 95 %.
– Stable radiographic correction: > 93 % at 5 years.
– Relapse: ≤ 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.

results of bunionette surgery in alicante

What is its effectiveness?

Our registry reflects a 97% satisfaction rate according to our internal data (2009-2024) 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 in Alicante

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.

surgery recovery alicante

Why choose Clínica San Román for your bunion surgery in Alicante?

Clínica San Román in Alicante has been distinguished in the Top Doctors® 2024 as the only clinic in the Southeast of 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 discover why we are rated 9.8 out of 10.

Excellent
Clínica Podológica San Román en Alicante 🦶
Based on 174 reviews
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LUIS F.P.
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 👣
Ria Reitsma
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 👣
Bilyana Asenova Kokalkova
Tenía miedo a operarme por una mala experiencia en otra clínica, pero aquí me sentí acompañada desde el primer minuto. La recepción fue amable, el doctor muy claro y honesto, y el seguimiento después de la cirugía de verdad me dio mucha tranquilidad.

Las molestias estuvo bien controlado y las instrucciones para casa eran fáciles de seguir. La recuperación fue incluso mejor de lo que esperaba y el pie ha quedado recto y funcional.

Ahora puedo caminar largas distancias sin sufrir. Recomendadísimos. 🌟
Response from the owner:Hola Bilyana, Muchas gracias por compartir su experiencia ⭐. Nos alegra enormemente saber que, tras una experiencia previa difícil, en nuestra clínica encontró la confianza y la tranquilidad necesarias para dar el paso. Nuestro equipo se esfuerza en acompañar a cada paciente desde la primera visita, con información clara, un trato humano y un seguimiento cercano después de la cirugía. Nos satisface saber que la recuperación fue mejor de lo esperado y que hoy puede caminar sin dolor. Comentarios como el suyo nos motivan a seguir ofreciendo la mejor atención médica y humana. Un cordial saludo, Equipo de Clínica San Román 👣
Juan Pablo Campos
Soy corredor aficionado y el juanete me estaba arruinando los entrenos. En la clínica me explicaron todo claro, la cirugía fue ambulatoria y en pocos días ya caminaba sin molestias. A los dos meses volví a correr y apenas se nota la cicatriz. El resultado es espectacular y el trato, de diez.
Response from the owner:Hola Juan Pablo, Muchas gracias por compartir su experiencia 🙏. Nos alegra saber que la cirugía le permitió retomar los entrenamientos en tan poco tiempo y sin molestias. Ese es precisamente nuestro objetivo: que cada paciente pueda recuperar su actividad habitual con seguridad y confianza. Valoramos mucho sus palabras sobre el resultado y el trato recibido. Opiniones como la suya nos animan a seguir ofreciendo una atención médica de excelencia, con técnicas mínimamente invasivas y un seguimiento cercano. Un cordial saludo, Equipo de Clínica San Román 👣
Margriet Krijgsman
In July 2014 I had my painful and often inflamed bunions removed on both feet at Clinica San Roman.
All in one day. I was lucky to have one bunion removed by Dr San Roman Senior, and in his presence, the other one by Dr San Roman Junior. I can't remember which one by whom, as both operations were, and still are, equally successful.
This microsurgery has changed my life. No more painful red bunions. No more bad posture so no more pain in my back. Lots of feel-good exercise in fresh air.
Now it's 2025, I am 72, yearly average more than 7.000 steps a day, I hike light to (short) medium inclines, my posture is excellent, I am and look fit, my feet are healthy and look nice.
Please note that Dr San Roman performs expert surgery. I, his patient, do the work afterwards, simple routines that are easy to fit into an average schedule. I follow his advice, wear the right shoes, consulted a posture expert and still see her for occasional check ups, take daily exercise and also maintain my muscles as instructed by my trainer. I also go for free check ups at Clinica San Roman every 2 to 3 years (my last check up was a few days ago). Alicante is a nice vibrant town with delicious food, old and contemporary city walks and nature walks/hikes nearby, cultural highlights and sandy beaches, and within easy reach with (charter) flights.
Clinica San Roman came highly recommended to me, and in turn I thoroughly recommend it to other people suffering from foot-issues.
You may contact me for questions, and obtain my 'Before-surgery' and 'Now 11 years later' photos, through the Clinic.
I almost forgot, the Clinic is absolutely spotless with state of the art equipment, and both Doctors San Roman have a kind and charming bedside manner.
Margriet from Holland
Response from the owner:Hello Margriet, We sincerely thank you for taking the time to share your experience in such detail 🙏. It makes us truly happy to know that, more than 10 years after your surgery, the results continue to enhance your quality of life and allow you to enjoy an active and healthy lifestyle. It is an honor for Clínica San Román that both Dr. San Román Senior and Dr. San Román Junior were able to contribute to your wellbeing. We also greatly value your commitment to follow-up care and healthy habits, which have certainly reinforced the success of your surgery. Reviews like yours are a great source of motivation for our entire team and strengthen our commitment to providing excellent medical care, modern facilities, and a warm, personal approach. Thank you for recommending us and for continuing to place your trust in our clinic after all these years. It is always a pleasure to welcome you back for your check-ups here in Alicante. Kind regards, Clínica San Román Team 👣
Aina Ramírez Vidal
Llevaba años evitando los tacones por el dolor de los juanetes, hasta que finalmente me animé a operarme con el Dr. Israel San Román, y no puedo estar más agradecida. La cirugía fue rápida y, aunque salí con el zapato postoperatorio, desde la primera semana noté una gran mejoría en el dolor. El equipo de enfermería estuvo pendiente de mí y en cada revisión me explicaban todo con calma, sin prisas. Hoy he podido volver a ponerme zapatos que tenía olvidados y solo me arrepiento de no haber dado el paso antes.
Response from the owner:Hola Aina, Qué alegría leer su experiencia 🙌. Nos complace saber que la cirugía le permitió recuperar comodidad y volver a disfrutar de su calzado favorito sin dolor. Nuestro objetivo es precisamente ese: mejorar la calidad de vida de cada paciente con técnicas seguras y un seguimiento cercano. Le agradecemos de corazón la confianza depositada en el Dr. Israel San Román y en todo el equipo de enfermería. Comentarios como el suyo nos motivan a seguir ofreciendo un trato humano y resultados que marcan la diferencia. Un cordial saludo, Equipo de Clínica San Román 👣
Francine Blommaert
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.👍
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
renato cunha duarte
“Una experiencia excelente. La atención es muy profesional y cercana, explican todo con claridad y transmiten mucha confianza. El trato al paciente es impecable y se nota la experiencia y dedicación en cada detalle. Sin duda, un lugar muy recomendable para cuidar la salud de los pies.🦶
Response from the owner:Hola Renato, Muchas gracias por su valoración tan positiva 🙏. Nos alegra saber que se sintió acompañado y con la información clara en todo momento. En Clínica San Román trabajamos desde hace más de 45 años con el compromiso de ofrecer un trato cercano y profesional, cuidando cada detalle para garantizar la salud y bienestar de los pies. Comentarios como el suyo nos motivan a seguir mejorando día a día. ¡Será un placer volver a atenderle cuando lo necesite! Un cordial saludo, Equipo de Clínica San Román 🦶✨
esteban garcia
Tenia Hallux Rigidus, lo cual, siendo ciclista, cada día que me ponia las zapatillas notaba dolor en el pie, incluso llego a dolerme al caminar, bastante antes de la cirugía deje de jugar al padel, hoy, he pasado con la bicicleta por la clinica y he recordado lo agradecido que estoy al doctor Israel San Roman.
La operación fue muy rapida y la recuperación inmediata
Cada dia que me pongo las zapatillas de la bicicleta o juego al padel, incluso caminando, me arrepiento de no haberme operado antes.
Incluso, ni se nota la pequeña cicatriz, el corte es mínimo
Response from the owner:¡Gracias, Esteban! 🙌 Qué alegría leerte y saber que, tras la intervención, has vuelto a disfrutar de la bici, el pádel y caminar sin dolor. El hallux rigidus puede ser especialmente limitante en deportistas, así que nos emociona que hoy eches la vista atrás y pienses “ojalá me hubiera operado antes”. 🚴‍♂️🎾 Trasladamos tu mensaje al Dr. Israel San Román y a todo el equipo. Comentarios como el tuyo nos recuerdan por qué hacemos lo que hacemos: devolver movilidad y calidad de vida, con incisiones mínimas y recuperaciones rápidas cuando el caso lo permite. Si en algún momento necesitas resolver dudas o prefieres una revisión de seguimiento, aquí nos tienes. ¡A seguir sumando kilómetros y partidos, sin molestias! 👣 — Equipo de Clínica San Román
NUMERI OZ
Desde la primera consulta, me sentí en buenas manos. El equipo fue cercano, profesional y me explicaron todo paso a paso. La cirugía fue rápida y apenas sentí molestias. En cuestión de semanas ya caminaba sin dolor y más ligera que nunca. Si buscas una solución real, aquí la encontrarás
Response from the owner:Muchísimas gracias por compartir su experiencia 🙏. Nos alegra saber que desde la primera consulta se sintió en buenas manos y que el proceso, desde la explicación hasta la cirugía y la recuperación, fue tan positivo para usted. Para todo el equipo de Clínica San Román es una gran satisfacción ver que hoy camina sin dolor y con más ligereza 👣✨. Sus palabras nos animan a seguir ofreciendo soluciones reales y un trato cercano a cada paciente. Gracias de corazón por su confianza.

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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 in Alicante, this is your place. Press play and get to know us.

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

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