No. Most people who have heel pain caused by a “heel spur” do not need surgery. The reason being that there is a ligament-like structure on the bottom of the foot that courses the arch and connects into the heel. At times, this tissue (which is termed the plantar fascia), becomes inflamed. As a result, there is an inflammatory process which the body calcifies creating a heel spur. The pain comes first, the spur comes later, and the spur generally does not cause the pain. It is important to remember that there are many people who have heel pain without a spur and plenty of people who have heel spurs, but no pain. Our 1Foot 2Foot podiatrists can show you how heel pain can be treated without surgery. You should know that heel pain is one of the most common foot ailments, and 95% of those who obtain treatment for plantar fasciitis go on to full recovery without the need for surgery.