In a review of 401 operations for symptomatic bunion, it was found that 101 Mitchell procedures gave satisfactory results in 90 per cent of feet in which it was used. About the same percentage of satisfactory results ensued after use of the Keller or Silver procedure, but the Mitchell procedure was limited in its indications to younger patients without rheumatoid arthritis but with moderate deformity. The other operations were used when other indications were present, such as in elderly patients and in those with mild or more severe deformity. Late complications (residual deformity, metatarsalgia, and others) were largely responsible for unsatisfactory results.