What to Expect at Foot and Ankle Center of Iowa When You’re Considering Bunion Surgery

Bunion pain can significantly affect your quality of life—limiting mobility, footwear options, and daily comfort. When conservative treatments are no longer effective, surgery may offer lasting relief. At the Foot and Ankle Center of Iowa, we specialize in Lapiplasty® 3D Bunion Correction, providing state-of-the-art care with trusted outcomes. From your first appointment to your final follow-up, we prioritize transparency and a patient-first approach.

Step 1: Initial Consultation (New Patient Appointment)

Your journey begins with a comprehensive in-office visit with one of our expert foot and ankle surgeons. This includes:

• A full physical exam and xray review

• Discussion of surgical options, including Lapiplasty®

• A clear explanation of the procedure and recovery process

• Time to ask questions and understand your options, both surgical and non-surgical

This appointment helps determine if surgery is the right choice and ensures you are well-informed.

Step 2: Scheduling Surgery & Fee

Once surgery is recommended, our team will help coordinate everything. We perform procedures at trusted local hospitals: Iowa Lutheran Hospital (Des Moines), Trinity Regional Medical Center (Fort Dodge), and Loring Hospital (Sac City).

To reserve your surgery date, we require a $200 scheduling fee. This covers administrative coordination such as securing your date, obtaining insurance approvals, and organizing pre-operative steps. The fee is non-refundable but will be applied toward your total surgical costs, and credited back to you if you do not have any patient responsibility after your insurance is fully processed.

Step 3: Insurance & Authorization

Our team handles the prior authorization process with your insurance company, if needed. We’ll keep you updated every step of the way, including:

• Insurance benefits and coverage details

• Expected out-of-pocket costs

• Authorization timelines and confirmation

We're also here to help you understand your insurance plan or assist with questions.

Step 4: Medical Clearance

All patients need a physical exam within 30 days of surgery. This should be completed by your primary care provider and ensures you’re medically fit for anesthesia and surgery.

Depending on your health history, labs, an EKG, or specialist clearance may also be required. We’ll guide you through exactly what’s needed. In same cases, further workup may be needed, such as a cardiology appointment, depending on your overall health and medical history.

Step 5: Pre-Surgery Visit & Surgical Consent (In-Person Only)

Approximately two weeks before surgery, you’ll return to our office for a required in-person pre-op consultation. During this visit, you will:

• Re-examine your foot to ensure no changes or other concerns are identified

• Review your surgical plan with your surgeon

• Ask final questions and discuss recovery

• Sign required consent forms (wet signature only)

• Receive pre-op instructions, including medication guidelines and what to expect on the day of surgery

This appointment ensures that everything is ready and that you and your surgeon are aligned before surgery day.

Step 6: Surgery Day

Your surgery will take place at either Iowa Lutheran Hospital, Trinity Regional Medical Center, or Loring Hospital. You’ll receive detailed instructions beforehand, covering:

• Fasting and medication guidelines

• What to bring

• What to expect

The procedure typically lasts 1–2 hours, and patients go home the same day. Lapiplasty® provides a more stable correction than traditional techniques, supporting a stronger, more confident recovery.

Step 7: Follow-Up & Recovery

Your first post-op visit is usually scheduled 3–5 days after surgery. During this appointment, we’ll:

• Check your incision and change your dressing

• Review your recovery instructions

You’ll also receive personalized guidance on:

• Pain management and incision care

• Walking boot use and activity restrictions

• Returning to work or physical activity

• Potential physical therapy

We’ll continue to monitor your progress closely to ensure optimal healing and long-term results.

Why Choose Us?

At the Foot and Ankle Center of Iowa, we are proud to lead the state in Lapiplasty® Bunion Surgery. Our experienced team uses advanced techniques and technology to treat even the most complex bunions. We’re committed to excellent communication, outstanding care, and making sure you feel supported throughout your surgical journey.

Ready to take the next step toward pain relief and mobility? Contact our office today at 515-639-3775 to schedule your consultation. We’re here to support you every step of the way.

Dr. Paul Dayton evaluating a patient with a bunion