Morton's neuroma is a common cause for forefoot pain in the adult population.

The best surgical approach for neurectomy remains debated.

Previous literature advocates a dorsal approach for primary excision due to lower complication rates.

We have found using a plantar approach routinely provides better exposure, with a low incidence of complications, comparable to other surgical approaches.

This, combined with high patient satisfaction has led us to recommend this approach for routine primary neurectomy.