In the podcast above, Dr. McGowan and Dr. Henne discuss the nitty gritty regarding when to fix your bunion. The best description of when to fix your bunion is when you have changed your shoe gear and your foot still hurts no matter how you try to make it feel better conservatively.
Considering bunion surgery is not a small decision. Most bunion surgeries will slow you down for a couple months. Surgery almost always entails cutting your bone and realigning the bone to a more normal position. This may require the use of screws and/or pins.