The market for this kind of surgery is lucrative
there's also money to be made by producing designer shoes with appropriate heel modifications.
(
Shlvng,
Sun 22 Nov 2009, 1:47,
archived)
The lengths of one's shoe modification could turn into a fashion status trend
however practical difficulties are inevitable, nobody wants to have their heelcock trodden on, trapped in a closing door or shredded by an escalator.
(
Shlvng,
Sun 22 Nov 2009, 2:10,
archived)