Hallux rigidus is the term used to describe a limitation of movement of the big toe, associated with the development of arthritis in the joint at the base of the big toe. The severity of symptoms may range from mild limitation of big toe movement to a very painful stiff joint. In advanced cases, patients often report difficulty with shoe-wear (especially those with a high heel) and pain with walking and exercise. Treatment includes wearing low-heeled shoes, and the use of a carbon fibre orthotic to stiffen the sole of the shoe. This works by limiting painful upward motion though the joint while walking. There are several surgical procedures for the treatment of hallux rigidus. Our surgeons at the Victorian Orthopaedic Foot & Ankle Clinic will select the most appropriate procedure based on the severity of the arthritis and the particular functional requirements of an individual. Although there is no urgency to performing this surgery, some of the more minor operations are best performed before the arthritis gets worse so as to maximize the movement of the big toe and prevent further deterioration of the joint.