Has anyone been successful with managing their bunions without surgery if you have a genetic predisposition to…

Has anyone been successful with managing their bunions without surgery if you have a genetic predisposition to getting them? Mine is mild at the moment but my podiatrist is pushing for me to get surgery before I they progress to where I’m older and the procedure would become more difficult for him. My pain is very minimal, almost non existent. I’m currently doing the orthotics, toe spacers and the “foot pt.” I know everyone is different but curious if anyone(with those gen