The operation here described is the result of an effort to overcome some of the difficulties which result from the more destructive operations for the relief of hallux valgus. . . . [R]econstruction of anatomical alignment may be accomplished without joint destruction. . . . This operation is suitable for any case except where there are marked changes in the articular surface, or extreme deformity, or in that of hallux rigidus. . . . [T]he conjoined tendon of the base of the outer aspect of the first phalanx is released from its attachment and transplanted into the head of the first metatarsal. The external sesamoid is removed if it is eroded, abnormal in shape, or displaced. The bursa and prominence on the medial aspect of the head of the metatarsal are then removed and an ideal yet conservative correction is obtained.