The toughest part is getting an accurate idea of what to expect for your recovery. It is wonderful not to have red, sore and throbbing bunions, but here it is 1 1/2 years later for me, and I still have pain and stiffness, especially when I wear any shoe or boot with the slightest heel. I usually don't have any pain when I wear fitness shoes or flat shoes, and I am quite active, playing tennis singles, kickboxing, etc., but whenever I wear regular shoes with heels, it takes a while after I take them off for my toes to "feel right." I have a closet of beautiful Gucci, Prada and Giuseppi Zanotti shoes that I have not worn because they are simply too high.
I would question the permanancy of screws. Once the bone sets, the screws are no longer needed to hold the bone in place. At least that's what my doc told me. In my case, I am having the screws taken out in a few weeks because the screws protrude slightly from the bone and rub on most of my shoes, causing pain of course. I'm glad that I don't have the bunion pain anymore, but not happy that I've seemed to have exchanged one problem for another.