Nail surgery is carried out under local anaesthetic to ensure the toe is fully numb. Depending on the condition, part or all of the nail may be carefully removed. A chemical treatment (Phenol) is applied where appropriate to prevent regrowth and reduce recurrence risk. It is possible to carry out the procedure without chemical treatment, however the results are less predictable.

The procedure typically takes around 45–60 minutes.

The procedure itself should not be painful because the toe is fully numbed using local anaesthetic before treatment begins.

After the anaesthetic wears off, some patients experience mild discomfort, which can usually be managed with over-the-counter pain relief such as Paracetamol or Ibuprofen, following standard guidance. Most patients report very little pain following the procedure.

Immediately after the operation we recommend NOT driving and having someone bring you to and from the appointment. 

We advise resting and elevating the leg for the rest of the day where possible.

The anaesthetic (Mepivacane) typically lasts for around 2-5 hours. Most patients report minimal pain following this, however if there is discomfort we advise Paracetamol/Ibuprofen as per standard guidance for adults and Calpol for children under the age of 16.

The dressing applied during the surgery is typically large and will not fit inside traditional footwear. We would recommend bringing an open toed sandal or similar to accommodate the dressing.

Most patients return to normal footwear following the first redressing appointment which would typically take place within 2-3 days of the procedure. During this time we advise that you keep the dressing dry and in place until review at the clinic.

At the first redressing appointment we will advise on signs of infection and how to redress the toe until healed.

We would typically book the second redressing appointment at your convenience around 3-4 weeks after the operation.

Our protocols are designed to support uncomplicated recovery and long-term resolution.

In certain cases, it may be possible to perform nail surgery immediately following your assessment appointment.

This is only offered where it is clinically appropriate and where the patient has reviewed and understood the pre-operative guidance before attending. Same-day surgery depends on several factors, including your medical history, current medications, clinical suitability, appointment availability and confirmation of informed consent.

Nail surgery is never carried out without a thorough assessment and a clear understanding of the procedure, recovery process and aftercare requirements.

We generally recommend resting for the day following your nail surgery where possible and keeping your foot elevated to help minimise discomfort, swelling and bleeding.

Most patients are able to resume normal daily activities once the large post-operative dressing has been removed by us, usually 48 hours after the procedure at your first dressing appointment.

If your job or school activities involve prolonged standing, walking, physical activity or safety footwear, you may wish to allow additional time before returning comfortably.