Osteotomies of the forefoot are some of the most common procedures performed by both orthopaedic surgeons and podiatrists. Hallux valgus surgery is the most frequent disorder for which these procedures are employed, with the treatment of metatarsalgia and dislocations of the lesser metatarsophalangeal joints. This review will discuss and update the treatment of forefoot disorders using osteotomy. The treatment of hallux valgus, hallux rigidus, lesser toe problems, and fifth metatarsal osteotomies will be discussed. The author's preferred methods are illustrated, and complications of these procedures are discussed.