Ganglion Excision surgery
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What is a Ganglion and why is surgery required some of the time?
A ganglion is a fluid-filled lump that forms around joints or tendons in the foot and ankle. Although harmless, it can become painful, interfere with footwear, cause pressure on nerves or tendons, or fluctuate in size. When a ganglion causes persistent discomfort or returns after aspiration, surgical excision may be recommended.
What does the operation involve?
- The procedure is usually carried out as a day-case under local, regional or general anaesthetic.
- A small incision is made over the ganglion.
- The sac and its root (the stalk connecting to the joint or tendon sheath) are removed.
- The wound is closed with stitches and a dressing applied.
- Sometimes a small joint capsule or tendon sheath repair is needed to reduce recurrence risk.
Most ganglions are treated via open excision, but minimally invasive techniques may be considered in selected cases.
What to Expect on the Day
- Usually home the same day
- Foot is bandaged and protected in a post-operative shoe or boot
- You may walk unless instructed otherwise
- Pain is usually manageable with simple painkillers
- Elevation is important for swelling reduction
Ganglion Cyst on Foot consent information
Consent Form removal of lump (docx)
DownloadPost Surgical Recovery
Immediate post operative period (0-2 weeks)
- Foot will be bandaged to protect the wound.
- Weight-bearing in a post-op shoe is often allowed, unless otherwise advised.
- Keep the foot elevated regularly to reduce swelling.
- Mild pain, bruising and swelling are normal.
- Stitches are removed at around 10–14 days.
2-6 weeks after surgery
- Gradual return to walking as comfort improves.
- Transition to roomy soft footwear when swelling allows.
- Driving may resume once you can safely operate the pedals (usually 3–4+ weeks depending on foot side).
- Return to desk work often from 1–3 weeks; active/manual work may take longer.
6-12 weeks after surgery
- Most daily activities become comfortable.
- Exercise such as cycling or swimming can usually begin after wound healing.
- Swelling and scar sensitivity continue to settle.
Longer term (3-6 months and beyond)
- Full recovery is well underway.
- Scar tissue softens and the foot feels more natural.
- Most patients return to:
- Golf, gym, casual hiking by 8–12 weeks
- Higher-impact sports by 3–6 months depending on comfort
- Final comfort levels may continue to improve for up to 6–12 months.
Outcomes
Before Surgery
· Pain or discomfort with shoes common
· Visible lump, sometimes tender or unsightly
· Possible nerve pressure causing tingling or numbness
· Activity may be limited if painful or footwear rubs
After Surgery
· Lump removed
· Less footwear irritation
· Improved comfort when walking
· Low recurrence rate but possible
· Scar softens gradually over months
Long term success
· Many patients achieve long-lasting relief after excision
· Recurrence can occur but is less likely when the stalk is removed
· Protecting the scar, avoiding pressure early and wearing suitable footwear help recovery
· Complications are uncommon and usually manageable if they occur
Contact Us
Contact to arrange an appointment
Prof Mason has clinics at Spire Liverpool (weekly) and in Douglas, Isle of Man (every 3 months)
Cost -
Initial consultation - £250
Follow-up - £150
Prof Lyndon Mason
Spire Liverpool Hospital, 57 Greenbank Rd, Liverpool L18 1HQ, UK
Patient Liaison - Clare van de Waal Telephone - 07717580737 E-mail - CVDWclerical@outlook.com Website - <<https://liverpoolfootandankle.com/<<
Copyright © 2026 Prof Lyndon Mason - All Rights Reserved.