Well, LoriB, I was one of those freaks of nature that had bunions, not only on the instep, but on the outstep too. Last year, I found a surgeon who was only willing to do 1 foot at a time, and he did not think my outer bunions were causing me enough pain to operate. I should've found a new Dr. at that point. But I let him do his thing, leaving me with three. The next year, I found a Dr. who would remove the remaining 3, which meant I'd be in a wheelchair for 3 weeks. I wish I had just done all 4 the first time, and not gone with the first surgeon. As long as you have someone (like my wonderful husband), who can wait on you for the 1st 3 days or so, the rest of it is not too bad. They gave me percocet, which I took for 2 days. My feet look nice, and the scarring is barely visible. In the end, they aren't free from pain between the metatarsals, but it's much better than before.
PS- The first surgeon placed a permanent metal screw into my bone, which I can still feel a year later. The 2nd guy used dissolvable pins, and I have no idea where the cuts in the bone were. So I would say no to permanent metal in the feet.