Nail Surgery at Feet First Podiatry Clinic
Nail surgery is a minor surgical procedure used to permanently resolve painful or recurring nail problems. It is performed under local anaesthetic and can involve removal of part of the nail or, where clinically indicated, the entire nail.
At Feet First Podiatry Clinic, nail surgery is carried out by experienced clinicians using sterile techniques. The procedure includes treatment of the nail root with phenol to prevent regrowth where appropriate, alongside a structured aftercare plan to support safe healing.
Pre-Surgical Assessment Appointment
Before nail surgery can be booked, a pre-surgical assessment is required. This appointment ensures that nail surgery is safe, appropriate and suitable for you.
During this assessment, the clinician will:
- Assess the nail problem and confirm diagnosis
- Decide whether partial or total nail surgery is required
- Check medical history and suitability for local anaesthetic
- Assess circulation, healing capacity and infection risk
- Explain the procedure step by step
- Discuss risks, benefits and alternatives
- Answer any questions you may have
- Explain aftercare and recovery expectations
Only once this assessment is complete will nail surgery be scheduled.
When Nail Surgery is Recommended
Nail surgery may be advised if you have:
- Recurrent ingrown toenails
- Severe or persistent nail pain
- Ongoing or repeated infection
- Nail shape causing repeated problems
- Nail damage or trauma
- Thickened, distorted or problematic nails
- Failure of conservative treatment
Types of Nail Surgery We Perform
Partial Nail Surgery (Partial Nail Avulsion)
Removal of only the problematic edge or section of the nail.
Most commonly used for ingrown toenails and preserves the natural appearance of the nail.
Total Nail Surgery (Total Nail Avulsion)
Removal of the entire nail where clinically indicated.
This may be recommended for severely damaged, deformed or repeatedly problematic nails.
The decision between partial and total nail surgery is made during the pre-surgical assessment.
What the Procedure Involves
Nail surgery is a planned outpatient procedure and includes:
- Local anaesthetic to fully numb the toe
- Removal of the affected part or whole nail
- Application of phenol to the nail root where regrowth prevention is required
- Careful cleansing and sterile dressing
The surgical appointment is booked for one hour, allowing adequate time for preparation, procedure and post-operative advice.
Aftercare and Redressing Appointments
Your nail surgery package includes three redressing appointments, all included in the cost:
- First redressing a few days after surgery
- Second redressing one week after the first dressing
- Third redressing two weeks after the second dressing
These appointments allow us to monitor healing, manage dressings and reduce the risk of complications. In addition you will be provided with a dressing pack and information on how to look after your toe to have a speedy recovery
Healing and Recovery
- Walking is usually possible immediately after surgery
- Rest and elevation are advised for the first 24â48 hours
- Mild discomfort is normal and short-lived
- Healing progresses gradually over several weeks, normally 4-6 weeks but can take up to 10 weeks depending on the individual.
Clear written aftercare instructions are provided, and ongoing support is available.
Safety and Success Rates
Nail surgery has a high success rate when performed correctly. Use of phenol significantly reduces the risk of nail regrowth in treated areas. Complications are uncommon when aftercare advice is followed and appropriate assessment is completed beforehand.
FAQs
Frequently Asked Questions
Do I need an assessment before nail surgery?
Yes. A pre-surgical assessment is required to confirm suitability and safety.
Does nail surgery hurt?
No. The procedure is performed under local anaesthetic, so the toe is numb.
Will the nail grow back?
If phenol is used, the treated portion of the nail will usually not regrow.
Why would the whole nail be removed?
This may be recommended for severely damaged or chronically problematic nails. This is rare but sometimes indicated.
Are follow-up appointments included?
Yes. Three redressing appointments are included in the cost. This helps us make sure the toe is recovering as expected. Sometimes more appointments are needed at additional cost.