Traditional surgical treatment of hallux valgus is based around distal soft tissue realignment and distal metatarsal osteotomies. Over the decades several osteotomies have been practiced, but currently the Scarf osteotomy is gaining popularity.

This presentation will discuss the various procedures for proximal correction of the hallux valgus, the scope of the Scarf osteotomy, its pitfalls and published results. Our own experience of the Scarf osteotomy runs to several hundred patients and the overall satisfaction rate from realignment of hallux valgus is over 80%.