Level of evidence: IV, case series. We evaluated the mid-term outcomes of the distal oblique osteotomy in the correction of stage II hallux rigidus. The two-tailed t-test with equal variances was used to compare preoperative and last follow-up clinical and radiographic results. A p value of <0.05 was considered statistically significant. This procedure is safe and reliable with low complication rates. Our results recommend a distal oblique osteotomy in stage II hallux rigidus.