Get personalized, unrushed surgical care with NYC's leading MIS bunion team
Dr. Joanna Ayoub and Dr. David Wong's Minimally Invasive Surgery (MIS) techniques combine the best parts of traditional open procedures (stability from internal fixation) with minimally invasive techniques (new technology, small incisions and minimal tissue trauma). This procedure is so ideal that Dr. Ayoub underwent MIS bunion surgery for her own feet in 2020!
As evidenced by our hundreds of five-star reviews, we go above and beyond to ensure success in our patients' planning and recovery. At our boutique practice, you will receive the personal care and attention you deserve, with expert skill and care at every step of the process.
Read more of Dr. Ayoub's reviews on Google, Zocdoc, and Healthgrades.
@tredfootankle
Read more of Dr. Wong's reviews on Google, and Healthgrades.
@drdavidtwong
What Makes Our Approach Different
Tiny, Hidden Incisions
Cosmetically pleasing incisions using plastic surgery techniques
Faster Recovery
Immediate weight-bearing after surgery
No Casting
Small surgical shoe is typically used postoperatively
Less Pain, Less Swelling
Tissue-sparing approach speeds healing.
Less Big Toe Stiffness
Procedure does not involve opening the joint
Reduced Risk of Infection
Less disruption to the skin and surrounding tissues
Same-day Procedure
Sedation anesthesia allowing you to go home within a couple of hours
3D Correction
Realigns the joint into a corrected position using zero-profile screws for stabilization
1-Hour Consults
Comprehensive evaluation, imaging, and planning - never rushed.
Hundreds of 5-Star Reviews
Real patients, real stories, life-changing results.
Powerful Correction, Hidden Scars
Whether the bunion is mild, moderate, or severe, our techniques give patients life-changing results with a speedy recovery and minimal scarring.
Expected Recovery
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Day 1: Walk in, walk out! Immediate weight-bearing with a surgical shoe post-procedure.
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Week 4-6: Transition to sneakers and walk for longer periods of time.
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Month 2-3: Return to recreational activities.
Every bunion case is unique, and recovery timeframes may vary depending on the type or severity of the bunion. Generally, minimally invasive bunion surgery offers quicker recovery times compared to traditional bunionectomy recovery. However, patients are advised to be mindful of their limits. We assess each patient's individual circumstances and medical history before recommending a specific recovery period.
What to Expect
Set up an Initial Consult with Dr. Ayoub or Dr. Wong
We devote 1 hour for a comprehensive consultation which includes in-office digital X-rays.
Schedule Your Surgery
Our scheduler will help you navigate any insurance concerns and plan important appointment dates with you.
On the Day of Surgery
Outpatient, same-day surgery takes place at a hospital or surgical center where you will receive exceptional and personalized care.
Recovery & After-care
We like to keep a close eye on your recovery! We typically see our postop patients every 2-4 weeks for bandage changes and X-rays to monitor healing.
Follow-up Care
We strive for the best results! At different stages of the care process we will provide you with exercise instructions, stretches, activity guidelines, and recommendations for suitable footwear.
Frequently Asked Questions about MIS Bunion Surgery
Most people with mild, moderate, or severe bunions are candidates for minimally invasive correction. Your consultation includes individual assessment to ensure this technique is right for you.
Our tissue-sparing approach minimizes trauma to the surrounding tissues, resulting in less pain and swelling compared to traditional open bunion surgery.
Most patients report manageable discomfort that can be controlled with prescribed pain medications and typically experience a quicker return to normal activities.
Most major insurances are accepted, and our team will verify your coverage before scheduling.
Pioneers of Minimally Invasive Bunion Surgery
With over 34 years of combined surgical experience, Dr. Ayoub and Dr. Wong have performed thousands of procedures involving foot and ankle reconstruction. They are among the first surgeons in NYC to perform this next-generation, revolutionary approach to bunion surgery. They have received extensive training from an elite team of doctors with global experience in these advanced procedures and always strive to perfect their techniques.
Due to the stability of this procedure, patients can return to normal life much sooner compared to more traditional open bunion procedures. This offers several benefits, including excellent range of motion, reduced muscle atrophy, and a lower risk of infection and blood clots.
Frequently Asked Questions about bunion surgery with Tred Foot & Ankle Care
As a boutique practice, we offer what larger practices and hospital systems can't: shorter wait times, direct communication with your doctor, more personalized attention, and less bureaucracy. You'll always feel heard, supported, and cared for every step of the way.
Our comprehensive one-hour consultation includes a detailed evaluation of your foot structure, gait analysis, and weight-bearing X-rays. Dr. Ayoub or Dr. Wong will discuss your symptoms, medical history, and treatment goals to determine if minimally invasive bunion surgery is the best option for you.
They will also explain the procedure in detail, including the benefits, risks, and expected recovery process, ensuring you are fully informed before making a decision.
Dr. Joanna Ayoub combines advanced MIS bunion expertise with the distinction of being one of the few female surgeons in all of NYC specializing in this technique. Dr. David Wong adds extensive surgical experience and a detail-oriented, compassionate approach. Together, they provide individualized care and consistently strong outcomes in minimally invasive bunion correction.
