A: Not necessarily. The main consideration is whether your bunion (or bunions, as many people have them on both feet) is painful. If it is, there are treatment options that can be employed before surgery is considered. For those people who continue to have pain after conservative (or non-surgical) treatment options have been attempted, then bunion surgery or a bunionectomy may be performed. A bunionectomy is considered elective surgery, which means that a patient can elect/decide to have the procedure if pain persists, but may also choose not to have the surgery performed. For more information about bunions, visit our Bunion page on this website.