84 patients (109 feet) with hallux valgus deformity were randomized to receive either modified chevron osteotomy (with an extended plantar limb) or scarf osteotomy to determine their comparative efficacy with regards to deformity correction, functional improvement, and patient satisfaction. Outcomes were followed-up at one year postoperatively. Findings indicated a significantly superior correction of the intermetatarsal angle in the modified chevron osteotomy group compared to the scarf osteotomy group. Correction of the hallux valgus angle and the distal metatarsal articular angle were comparable between groups. The Manchester-Oxford Foot Questionnaire scores and patient satisfaction scores were also comparable between the two osteotomy treatments.