Objective <p>Recurrent deformity following surgical correction remains a complex and technically demanding condition. This study aimed to evaluate the clinical and radiographic outcomes of minimally invasive surgery (MIS) in patients undergoing revision procedures for recurrent hallux valgus (HV).</p> Methods <p>This retrospective case series included 33 feet that underwent minimally invasive revision surgery using either the third generation Minimally Invasive Chevron-Akin (MICA) or the fourth-generation Metaphyseal Extra-Articular Transverse and Akin osteotomies (META), following failure of a previous hallux valgus correction performed by open or minimally invasive techniques. Clinical outcomes were assessed using the Manchester-Oxford Foot Questionnaire (MOXFQ), the Visual Analogue Scale (VAS) for pain, and patient satisfaction. Radiographic parameters and complications were recorded and statistically analysed using R software.</p> Results <p>Both techniques proved effective in angular correction, with significant reductions in the hallux valgus angle (HVA) and intermetatarsal angle (IMA) (<i>p</i> &lt; 0.001), as well as in bone and soft-tissue forefoot width (<i>p</i> &lt; 0.05). Significant improvements were also observed in all three MOXFQ domains (<i>p</i> &lt; 0.001) and in VAS scores (<i>p</i> &lt; 0.001). Subgroup analysis revealed no statistically significant differences between MICA and META in either radiographic or clinical outcomes related to pain and function (<i>p</i> &gt; 0.05).</p> Conclusion <p>Third- and fourth-generation minimally invasive surgical techniques have proven effective in correcting radiographic parameters and improving pain and functional scores in patients undergoing revision for recurrent hallux valgus, with a low rate of complications.</p> Level of evidence <p>Level IV, retrospective case series.</p>