It often requires surgery to correct. A bunion for a high heel wearer is like a liver problem for an alcoholic. Pointed toes can also cause overlapping toes and toe nail problems. Furthermore, wearing pointed toes for a few hours often leads to pain between the toes and in the ball of the foot, so that one has to remove the shoes periodically to stretch the toes and give them air. Furthermore, some people have short or long toes, just as some people have short or long fingers.
Short toes make it very difficult to form a pointed ball of the foot.
Usually, the outside edge of the big toe and outside edge of the smallest toe get pinched and bruised very easily. Long toes make it very easy to form a pointed ball of the foot, but it so easy that toes can begin to overlap. So, women with short or long toes should not wear high heels with pointed toes. Non-pointed toes, like round and square, are much more comfortable than pointed toes, but not as sexy. So, someone designed a fake pointed toe box with more space inside for the toes.