A bunionectomy involving excision of the medial eminence, tenotomy, and joint fusion of the first metatarsal bone to the first cuneiform bone is performed to correct hallux valgus. A dorsal incision is made over the metatarsophalangeal joint. Soft tissues are dissected and the joint capsule is exposed. The metatarsophalangeal joint capsule is incised and the medial eminence is exposed. The medial eminence is excised in line with the metatarsal shaft. The tendon on the lateral aspect of the great toe is divided. The first metatarsocuneiform joint is resected and the metatarsal bone is realigned. Screw or other suitable arthrodesis fixation is placed across the first metatarsocuneiform joint to maintain the joint in the corrected position and to allow the bones to fuse. The joint capsule is plicated and repaired. The two sesamoid bones located on either side of the metatarsal head may also be excised if they are fractured or inflamed. A skin incision is made over the sesamoid bone. Soft tissues are dissected around the sesamoid bone and the bone is excised. Soft tissue and skin are closed in layers.