Objective: To investigate the clinical effection of the minimal incision osteotomy treatment for Hallux Valgus combined with tailor’s bunion deformity. Methods: From May 2007 to May 2009,Forty-nine feet of 32 patients(a mean age of 57 years old) of Hallux Valgus combined with tailor’s bunion deformity were reviewed retrospectively. The axial and lateral films of all feet with loading were taken before and after operation.The average HAV was 35.5°and the average IM was 16°.Results: The average operating time was 40 minutes. All patients were followed up from 6 to 24 months,the rate of excellent outcomes was 91.8% ,good outcomes was 6.2 % ,poor outcomes was 2% ,the rate of excellent and good outcomes was 98%. Conclusion: The minimal incision osteotomy treatment for Hallux Valgus combined with tailor’s bunion is effective and safe, This method is mini-trauma, less pain and it can make a very soon rehabilitation. This method has widely clinical value.