There are constant advancements in medical science occurring at a frenetic pace. Some wind up being great improvements over previous available therapies, others, not so much. Foot surgical techniques have not changed too much in the last 50 years. Most of the advancement in orthopedic foot and ankle surgery has revolved around the surgical implants used to stabilize bone and soft tissue during the healing process. Whenever a new device is introduced, I always approach the potential use with a certain amount of skepticism. Quite frankly, the majority of devices developed for foot an ankle procedures have only an advancement in cost. There is a notable exception that I have found. The Lapiplasty 3D Bunion Correction is not only an advancement in surgical hardware, it is an advancement in technique that improves upon a tried and true procedure for correcting bunions. Precision instrumentation and intra operative x-ray imaging allow for accurate correction of all components of the bunion deformity. The stability of the surgical hardware combined with the way it is applied allows for immediate weight bearing in a walking boot as apposed to 2 months of non weight bearing cast with the traditional Lapidus techniques. I have been employing this technique for the last 5 years with impressive results and great patient satisfaction. It has become my go to procedure for moderate to severe bunion deformity. If you or anyone you know is considering bunion surgery, send them in to me for a consultation to see whether this innovative solution would help.