COSMIC Study - Comparing Open Scarf/Akin Osteotomy and Minimally Invasive Chevron/Akin. A Feasibility Study

Inclusion Criteria: * Patients over 18 years of age. * Patients with Hallux valgus deformity suitable for treatment by both Open Scarf/Akin and MICA procedures. * Patients with no significant co-morbidities that would increase their risk of procedure. * Patients able to understand and complete questionnaires. * Patients with the capacity to provide informed consent. * Patients who have, in addition to Hallux Valgus Deformity, lesser toe deformities requiring correction distal to the metatarsal phalangeal joint at time of procedure. * Patients without significant other mid foot or hind foot pathology Exclusion Criteria: * Patients under 18 years of age * Patients with severity of Hallux valgus deformity necessitating Open procedure * Patients with significant co-morbidities that would increase the risk of surgery * Patients unable to understand or complete questionnaires. * Patients without the capacity to provide informed consent. * Patients with additional deformity requiring additional procedures proximal to the metatarsal phalangeal joint.