Foot and ankle surgery is not black and white. Only the outcome is. This means a patient may want their bunion removed, but desires requires the incision to less visible and needs to be bearing weight on the surgical foot with in a certain time frame. How a surgeon achieves the patients desired result can be determined based on patient expectations. In order to successfully achieve the expected outcome with the patients expectations in mind, a Surgeon must have a competent skill set equipped to tailor to the circumstances.
Modern medicine has advanced to a point that makes it possible to customize foot and ankle surgery but not with out the proper operative skill set.