The purpose of the study is the problem of treatment of patients of elderly and senile with valgus deformity of the 1st toe. Still unresolved issues are: which of low-impact operations in the area of the 1st metatarsal bone and main phalanx 1 finger is more effective. Today the influence of operations sparing resection of the head of the 1st metatarsal on the function of the foot insufficiently studied. The need to develop a new operation with a comprehensive assessment of its results in elderly patients is the basis for this study. Materials and Methods: the study is based on the clinic analysis and the results of surgical treatment of hallux valgus toe 1 in 72 patients of both sexes. Sparing resection of the metatarsal head 1 was performed in all patients. Results: after sparing resection metatarsal head 1 there was a decrease in the number of cases overload medial edge of the foot, a decrease of the transversal size of the foot and an increase of longitudinal size of the foot. Conclusion: examination of the results of operations on the head of the 1st metatarsal has allowed to establish that the function of the foot has undergone some positive changes. In patients deformation disappeared, gait became smooth, the load on both feet became uniform. Because of this, patients were able to use the normal shoes, their household activity increased.