Centre of Excellence · MIS · Germany-Trained

Minimally Invasive Bunion Surgery Centre

3-mm incision bunion correction — walk the same day

A dedicated centre for modern, minimally invasive bunion (hallux valgus) correction using MICA / PECA techniques learned in Germany with MIFAS. Correction is performed through 3–4 mm incisions — no long scar, no plaster cast, walking the same day in a special post-op shoe, and back to normal footwear within weeks.

Overview

Understanding MIS Bunion Centre

A bunion — medically called hallux valgus — is not just a cosmetic bump on the side of the big toe. It is a full 3-dimensional deformity in which the first metatarsal bone rotates and drifts inward while the big toe drifts outward, toward the second toe. Shoes become painful, the big toe joint slowly wears out, the second toe often develops a hammer deformity, and many patients quietly give up sandals, heels and open footwear.

For decades, bunion surgery in India meant a long scar, a plaster cast, 6 weeks in bed and a stubborn recurrence rate. That is no longer true. Dr. Chandan Narang is Germany-trained in the 3rd and 4th generation minimally invasive bunion techniques — MICA (Minimally Invasive Chevron & Akin) and PECA — with MIFAS in Germany. Correction is done through 3–4 mm keyhole incisions using specialised burrs and fixation. There is no long scar and no plaster cast.

The results are striking. Patients walk the same day in a stiff-soled post-op shoe, drive within 3–4 weeks, and are back in normal shoes by 6 weeks. Cosmetically, the almost-invisible incisions matter enormously for women returning to sandals, weddings and open footwear. Recurrence rates with modern MIS technique are under 5% when the correct osteotomy is chosen for the individual foot.

The MIS Bunion Surgery Centre serves patients from Chandigarh, Mohali, Panchkula, and the whole of Punjab, Haryana, Himachal Pradesh and Jammu & Kashmir. Many begin with a paid online video consultation so they can plan their travel and time off work with confidence.

Germany-trained technique

3rd–4th generation MICA/PECA — the same technique performed at leading European foot centres.

Walk the same day

Post-op shoe from day one, no plaster cast, driving in 3–4 weeks, sandals in 6 weeks.

Cosmetic-friendly

3–4 mm incisions leave nearly invisible scars — critical for patients returning to open footwear.

Symptoms

How patients describe it

Plain-language descriptions patients use — with the medical name in brackets.

"A bump on the inner side of the big toe, getting bigger with time"
Hallux valgus deformity
"Big toe leaning toward or over the second toe"
Valgus angulation of the great toe
"Redness, swelling or pain over the bump in shoes"
Bursitis over the medial eminence
"Pain deep in the big toe joint on walking"
First MTP joint arthritis
"Second toe curling upwards or riding over the big toe"
Secondary hammer / cross-over toe
"Pain in the ball of the foot ('like walking on a stone')"
Transfer metatarsalgia
"Corns and callosities between or under the toes"
Pressure keratosis
"Difficulty wearing sandals, closed shoes or heels"
Footwear intolerance
Recognise any of the above? Start with an Expert Video Consultation from anywhere in India.
Red flags

When should I see a specialist?

  • The bunion is painful in shoes, not just cosmetically bothersome
  • The big toe is starting to cross over — or under — the second toe
  • Corns, calluses or a hammer toe are developing next to the bunion
  • You have stopped wearing your favourite shoes because of the bump
  • A previous bunion surgery has failed or the bunion has come back
  • You are planning a wedding, event or long trip and want it fixed with minimal downtime
  • The pain is now deep in the joint (not just over the bump) — early arthritis warning
Treatment

Treatment options — from conservative to surgical

Every plan starts with the least invasive option that works for you.

Wide-toe-box footwear & silicone spacers

The first step for every patient. Shoes with a wide, deep toe box remove pressure on the bump. A small silicone spacer between the first and second toe eases the angulation.

Best for: Mild, painless or minimally painful bunions.
Night splints & toe-strengthening exercises

Night splints hold the toe in a corrected position while you sleep. Combined with big-toe abductor strengthening, they slow progression in early cases — but do not reverse an established bunion.

Best for: Early or adolescent bunions; buying time before surgery.
MIS Chevron + Akin osteotomy (MICA / PECA)

3rd–4th generation minimally invasive bunion correction. Bones are cut and repositioned through 3–4 mm incisions using specialised burrs, and held with 2 tiny screws. No plaster cast.

Best for: Mild, moderate and severe bunions in adults.
MIS bunionette (5th metatarsal) correction

The same MIS technique applied to a 'tailor's bunion' on the outside of the foot.

Best for: Painful 5th metatarsal bump.
Combined MIS bunion + hammer toe correction

Lesser toe deformities are corrected at the same sitting using percutaneous techniques so the patient recovers from all deformities in one recovery period.

Best for: Bunion with associated 2nd/3rd toe deformity.
Revision bunion surgery for recurrence

For failed previous open surgery, MIS techniques allow revision without a large scar. Occasionally a fusion is required if the joint is arthritic.

Best for: Recurrence, malunion or over-correction from previous surgery.
Procedures we perform

Signature procedures

  • MIS 3rd/4th generation Chevron + Akin osteotomy (MICA)
  • Percutaneous bunionette (5th metatarsal) correction
  • MIS lesser toe (hammer/claw) correction
  • Combined MIS deformity correction with instability repair
  • Revision bunion surgery for recurrent deformity
Clinical scope

Medical focus areas

hallux valgus correctionminimally invasive bunion surgeryMICA (minimally invasive chevron & Akin)PECA percutaneous osteotomy3rd & 4th generation MIS bunionsame-day bunion surgerylesser toe deformity correctionbunionette correction
Recovery

What recovery looks like

A realistic timeline — every patient is different, but this is what most people experience.

  1. Day of surgery · 0–24 hrs
    Day-care procedure. Home the same evening in a stiff-soled post-op shoe. Foot elevated.
  2. Week 1 · Day 1–7
    Walk short distances in the post-op shoe from day one. Suture removal (if needed) at day 7.
  3. Weeks 2–4 · Return to desk work
    Comfortable walking indoors and short outings. Driving usually possible at 3–4 weeks for right-foot surgery.
  4. Weeks 4–6 · Back into normal shoes
    Transition from post-op shoe to a wide, soft trainer. Physiotherapy for big-toe mobility.
  5. Weeks 6–12 · Sandals & regular life
    Sandals, formal shoes, gym cardio, walking long distances. Bone healing on X-ray.
  6. Months 3–6 · Heels & running
    Return to heels, running and high-impact activity. Cosmetic scars fade to near-invisible.
Planning your travel from Punjab, Haryana, HP, Chandigarh or J&K? Book the video consultation first — plan surgery around your calendar.
Video consultation

Can I book an online consultation?

Yes — MIS bunion patients are ideal for online consultation. Take clear photos of both feet from the front, side and above, and any recent X-ray. In a 20-minute paid video call Dr. Narang will confirm whether you are a candidate, explain exactly which technique fits your foot, and walk you through the recovery so you can plan your travel to Mohali with confidence.

Regional care

Serving patients across North India

We regularly operate on brides and destination-wedding patients from Chandigarh, Mohali, Ludhiana, Amritsar, Jalandhar, Patiala, Karnal, Ambala and Delhi NCR, and on hill-station patients from Shimla, Solan, Dharamshala, Manali, Jammu and Srinagar. Most patients need 2–3 nights in Chandigarh/Mohali for the surgical window; follow-up is on WhatsApp video.

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FAQs

Frequently asked questions

Will there be a plaster cast?

No. You walk in a specially designed post-op shoe from day one. Most patients drive by 3–4 weeks and return to normal shoes by 6 weeks.

How likely is the bunion to come back?

Recurrence risk after modern MIS bunion technique is under 5% when the correct osteotomy is chosen for your foot type.

How long will I be off work?

Desk work: usually 1–2 weeks. Field / standing work: 4–6 weeks. Heavy manual work: 8–10 weeks.

Can both feet be done together?

Yes, if the deformity and your general health allow. Many patients — especially those travelling from far — choose bilateral surgery so they only recover once.

Will the scar be visible?

The incisions are 3–4 mm and heal to near-invisible marks. Cosmetic outcome is one of the biggest reasons patients choose MIS.

Can I book an online consultation before deciding?

Yes. Send us photos of your feet and any X-ray you have. In a 20-minute video call, Dr. Narang will confirm your candidacy and plan your surgery.

Is this the same as laser bunion surgery?

'Laser bunion surgery' is largely marketing. Modern MIS bunion surgery uses specialised burrs and internal fixation — not lasers. It is the technique, not the tool name, that matters.

Ready to speak with Dr. Chandan Narang?

A 30-minute Expert Video Consultation from anywhere in India. Upload your X-ray or MRI in advance for a proper review.

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