I see many high heel-created foot problems that go on to surgery. Bunionplasty from high heels are common. I can tell you that getting your feet strong is the first step at putting off or preventing a high heel foot makeover.
The midfoot arch is particularly susceptible to injury when wearing high heels. The foot is not designed to function in this position, so when one trips or falls in high heels there can be excessive force placed on the midfoot, causing it to break or dislocate.