I had surgery on my right foot for MN 2 years ago. Mine was huge and easy to diagnose. At the time I didn't know about my PN so there was nothing special done in terms of anesthesia. (tho surgeon did comment that even under general, when he touched the nerve I kicked him

). I chose not to do the nerve cutting surgery, as I've had other nerve surgeries and know that it can often be out of the frying pan into the fire. My doc removed the tumor part and put some artificial padding between the nerve and bone. I was pain-free for 2 years. Now, yes, the foot I had operated on hurts a bit more than the other, but there's no way of knowing whether it's PN or returning Mortons. My point here is that the PN wasn't made worse by the surgery.
Interestingly, my feet hurt much more in flats than they do in 1.5" heels. I think b/c my toe joints flex in flats.