Hammer toe correction surgery is an outpatient procedure done in the operating room.
It is performed under anesthesia with a tourniquet around the ankle to minimize bleeding. An incision is made over the top of the hammer toe and the soft-tissues are dissected away from the bone being careful to protect the nerves and vessels. At this point a small portion of the bone is removed and the toe joint is straightened.
The alignment can be held straight by a pin that is drilled across the joint and left exposed at the tip of toe so that it can be removed in the office later. Another technique is to use an internal device that stays in the toe permanently.
The decision on which technique to use depends on the type of deformity and the preference of the surgeon.