Firstly, our Centre has never encountered this condition following cryosurgery. We have treated patients with stump neuromas following open surgery (by other surgeons) and in these cases cryosurgery can be successful. The key treatment strategy here is to treat the nerve in front of the point where the stump has formed. This is so that the area can be desensitised and pain eradicated. Cryosurgery is an excellent treatment option for stump neuroma. This procedure should be done before considering more invasive revision surgery, which generally requires an incision under the foot and carries the additional risk of a painful scar forming. Mr McCulloch does not need to perform open surgery often, and his meticulous technique means he has not had personal experience of a stump neuroma when he has performed this procedure. Nevertheless, this remains a risk that is cited as being as high as five to ten percent.