Before coming in for your toe-lengthening surgery, you will have a good idea of the entire process. After surgery, you will be sent home so that the incisions can heal and the external fixation device can settle in. Within a week after the surgery, Dr. K will see you in his office to give you instructions on how to adjust the external fixation at home. Generally speaking, the bone will be lengthened approximately .5 mm per day, but that can vary. Dr. K will give you instructions based on your specific situation.