We offer surgical toenail removal through a procedure known as Partial Nail Avulsion (PNA). This is the most common type of nail surgery we perform, typically used to treat persistent ingrown toenails. The aim is to relieve pain, prevent infection, and stop the ingrown portion of the nail from returning.
Benefits of Surgical Toenail Removal
You may require nail avulsion surgery if:
- Your toenail is constantly painful or infected
- You struggle to wear closed shoes comfortably
- Your activities or work are impacted by toenail discomfort
- Conservative treatments haven’t resolved the issue
This procedure is particularly beneficial for individuals who experience recurring ingrown toenails and are seeking a long-term solution.
What You Need to Know About Surgical Toenail Removal
When Is Minor Nail Surgery Required?
Nail surgery becomes necessary when an ingrown toenail causes infection, ongoing pain, or interferes with daily life. A PNA removes the affected section of the nail and prevents it from growing back.
Partial Nail Avulsion Procedure
The nail surgery procedure begins with a full assessment by your podiatrist, including a review of your medical history and foot circulation.
Key steps of the PNA:
- Local anaesthetic is injected into the toe
- A tourniquet controls bleeding
- The ingrown nail edge is lifted and removed, often without the need for stitches
- A chemical agent is applied to the nail root to stop regrowth
- A sterile dressing is applied, and the patient can usually walk immediately afterwards
- Assistance getting home is recommended as the anaesthetic wears off within two hours.
What Happens After the Procedure?
Recovery involves simple home care and 1–2 follow-up visits. Most patients experience minimal disruption to their routine.
Aftercare recommendations:
- Rest for the first few days
- Wear open-toed shoes
- Take mild pain relief as needed
- Limit strenuous activity until healing progresses
Healing typically occurs over 2–3 weeks.
Are There Any Potential Complications?
Nail avulsion surgery is a safe and effective procedure, but like any surgical procedure, it carries minor risks.
Possible complications:
- Post-operative infection – rare and manageable with proper care
- Nail regrowth – uncommon but possible
- Your podiatrist will guide you through the correct aftercare to minimise these risks.
Need relief from recurring ingrown toenails? Book an appointment to discuss your options for nail avulsion surgery today.

