Toenail Surgery: A Complete Guide For Patients

by Jonathan Cook


Nail Surgery: A Complete Guide 


If you are reading this, then the chances are you are struggling with an ingrown toenail or another painful nail condition and are considering nail surgery as a solution. Here at The House Clinics, Bristol, our Podiatrist team often see and treat people suffering from a problematic nail. It is important to have your toenail examined by a podiatrist who is fully qualified to determine the cause of your nail condition and advise on which treatment would be best for your recovery. Sometimes the issue can be addressed with minor intervention, but ingrown toenails and some other nail conditions are best resolved by nail surgery, involving a partial or full nail extraction. Read our full guide to help you understand why you may need surgery and what to expect.


Ingrowing toenail resolved with nail surgery, The House Clinics, Bristol


1.What Does Toenail Surgery Treat?


The most common reasons why you may need toenail surgery include the following:


Ingrowing Toenails:


An ingrowing toenail occurs when the corner or side of your toenail begins to grow into the soft flesh (sulcal tissue) and sets off an inflammatory response.  It will usually become very painful, red, and swollen and may become infected with accompanying puss. It is usually the big toe that is affected. 

Causes of ingrowing toenails vary from genetics to poor footwear. Some people are born with nails where the lateral curvature of the nail plate is excessive or exaggerated and the nail is more likely to grow into the surrounding skin. Other causes include poor nail cutting, nail picking, trauma, ill-fitting shoes, smoking, and some medications that can cause the nail to change shape.

Sometimes an ingrowing toenail can be treated at home, but when it becomes very painful and infected it should be seen by a Podiatrist who will determine the best treatment to alleviate pain and promote healing. Nail Surgery is often the best solution for recurrent ingrowing toenails.


Ingorwn toenails are the most common reason why nail surgery is performed, The House Clinics Podiatry, Bristol


2. Deformed or Thickened Toenails (Gryphosis):

Deformed and thickened toenails can develop as a result of trauma and injury, practicing certain sports which involve lots of toe impact (football, running, rambling), and ill-fitting shoes. A fungal infection of the nail can also cause the nail to thicken.  In the case of thickened nails, just a fraction of a millimeter extra thickness in nails can put excessive pressure on the nail bed. This causes soreness, and sometimes a breakdown of tissue under the nail, and then ulcerations. When nails are damaged or deformed, the nail can cut into the skin tissue, or leave the nail bed exposed and sore - raising the risk of infection. 

Podiatry treatment for this type of nail problem varies depending on how severely damaged the nail is. Nail surgery can be a good solution though if other interventions are unsuccessful.


Damaged and painful toenails can be treated by a podiatrist at The House Clinics, BristolThickened toenails can be treated by a podiatrist at The House Clinics, Bristol



What Are The Benefits of Toenail Surgery?


Patients who come to The House Clinics are very relieved after the procedure is done, for the following reasons:

  • Nail Surgery is a permanent cure to your problem 
  • Pain is relieved & the cause of infection removed
  • A Pain-free procedure with minimal discomfort afterward
  • Normal activities can be resumed
  • No need to take time off work/school
  • Being able to wear normal shoes again
  • Local anesthetic, no fasting required 
  • Partial nail removal is cosmetically acceptable


What Does The Procedure Involve?


  • On the day of the procedure you can carry on with your normal routine, including eating and drinking and taking any medications (unless you are told not to), but it is important to give yourself some downtime after the procedure, put your feet up and take it easy for the rest of that day. 
  • To begin, the toe is anesthetized with a local anesthetic applied at the base of the toe. This is the only painful part of the procedure and is no worse than an ordinary injection.
  • When the toe is completely numb (and we always check!), an antiseptic solution will be applied to your toe to minimize the chance of infection. The offending nail or piece of the nail will then be removed.
  • A chemical solution (phenol) is then applied to stop the nail from regrowing.
  • A protective dressing will be applied, and the operation is complete. The whole procedure is over and done with from between 45 minutes-1 hour (for 1 toe).
  • A follow-up appointment will be arranged with you so that the Podiatrist can assess and re-dress the toe.
  • You can then head home and relax for the rest of the day with your feet up! 

 It is always our preference not do perform a full nail extraction if it can be avoided. However, in certain cases, we may advise this as the best treatment depending on your condition. In most cases, partial removal is performed.



Private Nail Surgery Appointments at The House Clinics, Bristol



Does Nail Surgery Hurt?


This can be a worry for anyone having nail surgery. The only slightly painful part is the injection used to administer anesthetic - very similar to the one you may have in your gums at the Dentist. Once the toe is numb you will not experience any pain while the nail is removed. After the procedure when the anesthetic wears off, the toe will be cushioned in a protective dressing. It may feel a little tender, but should not be painful at all. You just need to take care not to knock it against something!


How long does it take to recover from toenail removal?


Complete recovery from toenail surgery takes approximately 4-6 weeks. You can carry on with your normal activities and routine, but you should avoid certain sporting activities and anything that may irritate the operation site until healed. You will need to visit the podiatrist for a follow-up appointment to check the toe and reapply a dressing. Regular dressing of the toe is also required by the patient. Our team is always on hand if you have any concerns after the operation. 


How Much Does Nail Surgery Cost?


The Cost of Nail Surgery is £325 for one toe and £75 for each additional toe. This price includes your initial assessment, the treatment, and a follow-up appointment.

An initial Podiatry consultation is £55. The podiatrist will only advise nail surgery if it is the best solution to your problematic nail. In some cases, other interventions can work well.


NHS Vs Private - Why Should I Pay For Nail Surgery?


Here at The House Clinics, Our Podiatrist Team prides itself in providing a highly personal, friendly, and professional service. The cost of Nail Surgery is a reflection of the expert skill and knowledge required to perform nail surgery safely and effectively to ensure your rapid recovery. Before the operation, our Podiatrists will take the time to get to know you and your particular toenail problem, and will provide excellent care before, during, and after the procedure. They are also always on hand to answer questions or concerns. 

  • Highly convenient - No waiting times 
  • Personalised Service
  • Professional treatment and advice from the same Podiatrist throughout the course of your treatment and aftercare.
  • Convenient appointment times (evenings and Saturdays) or at a time of day that suits you (The NHS often only offer certain days and times).
  • Comfortable and Relaxed Clinic Environment


How Do I Book Nail Surgery?


If you have been told by a nurse or GP that you need nail surgery, you can book an appointment straight away (1 hour) at one of our clinics without the need to book an initial consultation. If you would like to chat with a podiatrist first, we can offer you a free telephone consultation to discuss the procedure and answer any questions you may have.

Otherwise, if you have a painful nail condition that you suspect may need surgery, please book an initial Podiatry Consultation First. The podiatrist will then be able to examine your toe and advise the best treatment for you.



Click here for your  Free Telephone Consultation with a Podiatrist at The House Clinics.  Or phone 0117 9420200 to speak to someone now.


To Book An Initial Podiatry Consultation or a Nail Surgery Appointment, please call 0117 9420200 or BOOK ONLINE



The House Clinics, Bristol -           The House Clinics, Podiatry Clinic, Bristol      The House Clinics, HCPC registered Podiatry and Chiropody Clinic, Bristol




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