Moving out of the postoperative shoe is a progression rather than a single event. The foot must tolerate contact over the incision, forefoot loading and normal toe movement. Swelling often determines shoe fit after the biological structures are otherwise healing well.

A soft, wide athletic-style shoe is commonly easier than a rigid leather shoe. Introduce it for short periods and assess the response later that day and the following morning. Tightness should not be forced in the hope that the shoe will ‘stretch the swelling away’.

Choose a wide and deep toe box with a stable sole.

Use adjustable laces or straps to accommodate daily swelling changes.

Avoid pressure directly over the incision or screw area.

Increase wear time gradually rather than changing to full-day use immediately.

Delay narrow, pointed or high-heeled footwear until specifically cleared—and recognise that some styles may remain unsuitable.

Will my old shoes fit after surgery?

Some will, but shoe fit depends on residual swelling, the new forefoot shape and the shoe’s design. Surgery should not be planned around fitting into a particular narrow shoe.