For some years it has been my custom to do the so-called Mayo operation for bunions, and I have yet to see any bad results from the removal of the head of the bone. It was formerly my custom to cut off the head of the bone by means of bone forceps; but, during this procedure, it frequently happened that the cut end of the metatarsal was somewhat splintered, which occasionally resulted in a slight amount of new bone formation. Also, I found that it required considerable time to trim the bone into exactly the proper shape. For several years I have removed the head of the bone by means of the Gigli saw. This has been found entirely satisfactory. It leaves a smooth surface, very little reshaping of the end of the bone is necessary, and it saves a great deal of time in the operation.
To facilitate the