I ve had both big toes fused at the 1st MTP. The right toe is set about a finger height above the flat and gives no issues. The second fusion has been more problematical. Surgery 9 months ago fused the joint with screws and plate. 3 months ago after continual and persistent pain, the fixation was removed. The pain continued and 3 weeks ago I had two cortisone jabs to my big toe. This had no effect on the pain and the pain in my toe is worse now than before the first surgery. Interestingly the left big toe is virtually flat to the ground..