Hello @pjss48, I also have hammer toes which I was not really aware that I had until I was diagnosed with idiopathic small fiber peripheral neuropathy and my Mayo Clinic neurologist asked if I minded if he took a picture of my toes. He explained that he was going to use the photos as part of a seminar on hammer toes that are typical of people who have neuropathy. My sister-in-law who is an RN had the toe surgery and was glad she did. She mentioned that it can cause balance issues and since the surgery she has found it easier to walk. She also had pain with her feet. I had thought about surgery but I don't have any pain with the toes or feet.