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Published on: 4/7/2025

When Is Surgery Recommended for an Ingrown Toenail, and Is It Painful?

Surgery is recommended for ingrown toenails when home care and non-surgical treatments haven’t helped, and while the procedure is done with local anesthesia, there may be some discomfort during recovery.

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Explanation

Doctors suggest surgery for ingrown toenails when the nail pain does not go away with simple treatments, if the problem happens over and over again, or if there is a severe infection. This surgery is an option when soaking your foot, wearing proper shoes, and trimming the nail correctly do not work. The operation is usually done using a local anesthetic, so you do not feel pain during the procedure. After surgery, you might feel a little sore or uncomfortable for a few days while your toe heals. Your doctor will likely recommend pain relievers to help with any discomfort during recovery. The decision for surgery is made based on how bad the pain is, how often it happens, and how much the ingrown toenail affects daily life. The goal of surgery is to permanently fix the problem and help you be comfortable again. If you have any worries about pain or recovery, it is a good idea to talk with your doctor so they can explain what to expect and how to take care of your toe.

(References)

  • Updated 2024 Jul 29]. Available from: [https://www.ncbi.nlm.nih.gov/books/NBK513139/
  • Mitchell S, Jackson CR, Wilson-Storey D. Surgical treatment of ingrown toenails in children: what is best practice? Ann R Coll Surg Engl. 2011 Mar;93(2):99-102. doi: 10.1308/003588411X12851639107674. Epub 2010 Nov 12. PMID: 21073822; PMCID: PMC3293299.

  • Hassan RE, Khan L, Shah SH, Naeem H, Noor N, Iqbal M, Dawood Khan F, Rehman Z, Ahmad W, Tanveer S, Khan AU, Shah SH. Surgical Strategies for Ingrown Toenails: A Comprehensive Review of Techniques, Outcomes, and Advancements. Cureus. 2024 Jan 18;16(1):e52501. doi: 10.7759/cureus.52501. PMID: 38371148; PMCID: PMC10874229.

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