I had the neuroma on the left removed. He did the surgery from the top. It returned before I finished physical therapy. Another doctor removed it again from the bottom this time. I found the surgery to be very painful. When it did heal, I now have a huge scar tissue which is almost as painful as the neuroma. I still have the neuroma on my right foot, which has never been removed. I don't recommend the surgery except as a very last resort. I think the least invasive answer is to make sure you have good supportive shoes. My doctor gave me a list of shoes. One of them was the hoka one one tennis shoes. I rarely wear anything else. They are expensive and worth every penny. Wish I had found them first. Might not have gotten the neuromas. Also, he recommended never going bare footed. Good luck!