The ingrown toenail is a commonly found foot problem. It occurs when the top corner or side of the toenail grows into the flesh next to it. The commonest causes of an ingrown toenail are:

  • Wearing shoes that are too tight around the toe
  • Cutting the toenails too short or with too much of a curve
  • Toe or toenail injury
  • A toenail that naturally grows into a curve

Ingrown toenail surgery is probably the best choice for those with chronic and recurrent ingrown toenail problems. Surgery to remove the nail edge (which doesn't grow back) can be a better long-term option when conservative and non-invasive treatments are unable to prevent ongoing discomfort and pain. 


  • Chronic ingrown toenail
  • Recurring ingrown toenail despite conservative care
  • Ingrown toenails affect the daily routine like pain while using footwear & discomfort


A surgery in which the entire nail is removed permanently is termed Total Nail Avulsion (TNA) surgery. When the toe is severely damaged or infected or thickened and caused a recurring problem that PNA surgery cannot fix, an entire toenail is removed to avoid future problems. Benefits include: A permanent solution for the nail which won’t grow back 98 percent success rate A simple and quick painless procedure Rapid recovery

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It is the most common procedure in which the side of the toenail that is causing the damage to the skin is permanently removed while maintaining the look of the toe. It is a quick and routine procedure normally used in ingrown toenails conditions by experts. Benefits include: A quick procedure of 40-60 minutes. A normal-looking nail can be seen after healing. 98 percent success rate. It fixes the issue permanently. Quick recovery time.

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  • Some bleeding can be seen on the surgical site however it is quite normal.
  • Leave the dressing intact and apply another over it. Rest & elevate your foot above the hip height.
  • Keep the toe dry and clean until the first dressing-change appointment.
  • Wear open-toe footwear to avoid discomfort
  • Avoid wearing tight-fitting shoes that may put pressure on the toe 
  • Avoid weight-bearing & strenuous activity for two weeks after surgery 


  • Ingrown toenail surgery is not recommended if:
  • You are pregnant or breastfeeding
  • You have diminished blood supply to feet (Peripheral Vascular Diseases) 
  • You are allergic to local anesthesia 
  • If your toenail is severely infected, a one to the two-week antibiotic course is recommended to ensure effective surgery results

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Frequently Asked Questions

The recovery normally takes between 4 to 6 weeks. The patient can walk immediately after surgery and can return to work after 48 hours.

Partial Nail Avulsion has lower post-operative pain as compared to Total Nail Avulsion surgery. There may be some post-operative pain when the patient is out of local anesthesia effect. This is managed by over-the-counter painkillers. 

Open-toe shoes are recommended for the first 48 hours. Also, avoid wearing tight-fitting shoes till the nail is completely healed. 

The surgery has a 98 percent success rate. The cases of reoccurrence are rare. 

There is no need of using crutches after the toenail surgery as you will be able to walk. But, driving should be strictly avoided, and elevating the feet is recommended. 

  • Swelling
  • Redness
  • Pain
  • Tenderness
  • Pus

Yes, ingrown toenails can be hereditary, if your parents have faced the issue, then the chances of you getting the issue are more likely. 

No, only the part of the nail is removed depending on the severity of the infection.

The best way to avoid ingrown toenails is to cut the nail straight across when trimming the toenails. Make sure to not cut the curved nail deeply. Instead, just clip the nail and end up with a sharp corner. Also, avoid wearing tight-fitting shoes which put pressure on the big toe. 

Many insurance companies provide coverage for Ingrown Toenail after a period of few years. Our HospiOne Team can guide you perfectly in this scenario.

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