Bunionette or “tailor’s bunion” is a painful lateral prominence of the fifth metatarsal head, leading to a chronic bursitis overlying the lateral side of the fifth metatarsal head. Conservative treatment with wide toe box shoes, semirigid shoe inserts, metatarsal pads, metatarsal bars, and stretching of the shoes may relieve the symptoms.¹ Operative management is indicated when nonoperative treatments can no longer control symptoms and when the patient has special demands, particularly in sports.¹ The indication for performing a percutaneous distal osteotomy is the same as that for performing a distal osteotomy with an open technique. Mild to moderate bunionette deformities may be corrected with this technique. The percutaneous procedure has evolved from the traditional open techniques that depend on stabilization with a Kirschner wire (K-wire) for hallux valgus^{2, 3, 4, 5} and was standardized by Bösch et al.^{6, 7} Giannini et al.⁸ recently presented a new minimally invasive technique of percutaneous distal metatarsal osteotomy, the characteristics of which can be summarized with the abbreviation “S.E.R.I” (simple, effective, rapid, inexpensive), for correction of bunionette deformity.