_Treatment._—Hallux valgus, like hammer toe, is often rather a question of æsthetics than of pain or inconvenience, and the patients are only moved to see the surgeon by a natural desire to get rid of a deformity; but in many cases the inflammatory complications occuring in connection with the associated “bunion,” or the interference with the neighbouring toes, upon whose territory the larger digit is encroaching, may give rise to actual and even intolerable suffering. In the milder examples the use of a well-shaped boot, and a stocking made with a separate pocket for the great toe, as recommended by Mr. Ellis, will be sufficient to allow the rectification of the defect, and to these elementary measures may be superadded Bigg’s bunion spring, which can be obtained from most instrument makers, or a vertical septum may be introduced into the boot in the normal position of the cleft between the first and second toes. In the more severe cases these plans of treatment are insufficient, and we then have the choice of several alternatives. 1. Section of the neck of the metatarsal bone with excision of a cuneiform segment from the tibial side has been performed successfully by Mr. A. E. Barker.[13] This allows the articulation, together with the entire toe, to be restored to the straight line, but the abnormal disposition of the articular surfaces and ligaments remains uncorrected, and there is reason to fear that trouble would arise later. 2. Forcible rectification under an anæsthetic is satisfactory for slighter cases. It may be aided if necessary by subcutaneous section of the opposing tendinous and ligamentous structures on the tibular side, and the toe is fixed for two or three weeks in plaster of Paris. The rectification should be preserved by the use of properly constructed shoes with a septum between the first and second toes, when the patient begins to walk.