Pericapsular Exparel for Pain Relief in Bunionectomy and Related Procedures

Inclusion Criteria: * Age ≥ 18 * Undergoing distal or midshaft osteotomy for bunion correction, 1st MTP Fusion, or cheilectomy Exclusion Criteria: * Age less than 18 * Unable to read/write English * Dementia, history of dementia, or other significant mental impairment that would, in the opinion of the investigator, impede patient self-reporting * Weight \<70 kg * Allergy to local anesthetics * History of long-acting opioid use or opioid tolerance (any patient receiving at least 30 mg of oxycodone or equivalent per day (e.g., 6 tabs of Percocet 5/325 mg) regularly for approximately 7 days or more OR who require increased analgesic doses for a period long enough to develop tolerance to the effects of the opioid including analgesia and sedation) * Any history of opioid misuse, illicit or prescription * Prior MTP joint correction on the surgical limb * Midfoot and hindfoot procedures performed concurrently, on the same day * Pregnant or breastfeeding