Congenital hallux varus (CHV) is an uncommon deformity of the forefoot, defined by the medial deviation of the great toe at the metatarsophalangeal joint, often accompanied by a wide gap between the first and second toes. This condition is associated with footwear difficulties, pain impacting quality of life, and aesthetic concerns. CHV may occur in isolation or alongside other congenital foot abnormalities, such as polysyndactyly or a longitudinal epiphyseal bracket (LEB). We present the case of a 19-month-old boy with bilateral CHV featuring a shortened first metatarsal and significant functional impairment. Surgical correction resulted in a favorable outcome, emphasizing the importance of early intervention.