The noted malformation was his congenital bilateral hallux valgus, oftentimes referred to as a bunion. Similar deformity involving the fifth toe is described as tailor's bunion or bunionette. Thus, metatarsus primus varus correction has become the primary objective of all bunion surgeries. Bunion is an abnormal bony mass that forms on the big toe and points outwards. Traditional bunion surgery can be performed under local, spinal or general anesthetic. Often a tailor's bunion is caused by a faulty mechanical structure of the foot. At present there are many different bunion surgeries for different effects. Syndesmosis procedure is one of the more than 20 bunion surgeries currently being performed. Tailor's bunion is easily diagnosed because the protrusion is visually apparent. Examples are Students' elbow and bunion. Ron names his bunion Paul, after the mythological lumberjack Paul Bunyan. The mountain rising above Charlies Bunion to the west was named after Kephart himself. This type of rock is exposed at Charlies Bunion, just to the northeast of Kephart. They all get drunk and decide to remove the bunion themselves. The United States Geological Survey gave it the name "Charlie's Bunion" shortly thereafter.