SunnyR, the lump on top of my foot before the surgery was the neuroma, after the surgery it was scar tissue, I have been massaging it a lot and it is almost gone. There are options other than surgery, but they usually don't work. You can get cortisone shots, but if I were you, I would skip the cortisone and go for the alcohol shots that is supposed to deaden the nerve. Neither one worked for me, but you never know, and hoonestly if the alcohol shots work, they are a better recourse to the surgery. The surgery leaves you with a scar and usually the toe that has been slowly leaving a larger space between the toes will not go back in place. My doc did lenghten the tendon in my toe hoping it would go back in place, but he warned me that it usually doesn't work, and it didn't for me, so now my second toe leans more towards the big toe, not happy about that, but i am certainly happy to be rid of the pain.
Sunny