Correction of Hammertoe Hammer toe is a condition in which the toe develops a claw-like appearance. This condition is generally found in the second toe but it can affect all the toes with the exception of the great toe. To correct the problem, the physician makes an incision over the toe close to the foot. A portion of the extensor tendon and joint capsule under the skin is removed. The supporting ligaments are cut to allow the toe to stretch out to 90 degrees. Once the toe is straightened, the head and neck of the proximal toe is removed and smoothed. The incisions are sutured and the dressing is applied. Most hammer toe surgery is performed under ankle block anesthesia in which the patient is awake but their foot is numb. Occasionally, general or spinal anesthesia is used. Patients should consult their surgeon for a complete explanation of the procedure and its associated risks and complications.