InStep Foot Clinic

The Specialists in
Podiatric Medicine

Opening Hours

Monday: 8.00am - 5.00pm
Tuesday: 9.00am - 4.00pm
Wednesday: 8.00am - 8.30pm
Thursday: 8.00am - 6.00pm
Friday: 8.00am - 2.00pm


01780 783982

Nail Surgery

Before You Have Nail Surgery

You are currently suffering pain and discomfort due to the problems with your toenail. It is of benefit to you to have part or the whole of that toenail removed. This will relieve the pain. A nail surgery procedure will remove permanently part of or the entire toenail.

What is Nail Surgery?

In order to remove any nail, you will need to have a local anaesthetic. This numbs the toe so that you will not feel pain. It is important to let the podiatrist know if you have had any previous reactions to local anaesthetics. Once the toenail is removed, a chemical called 80% Liquefied Phenol is applied. This destroys the growth part of the nail. After the procedure a sterile dressing is applied. We ask you to leave this dressing on for 48 hours. Y ou will be given a leaflet called After Y ou Have Had Nail Surgery which contains all the instructions we would like you to follow to care for your wound in the early days between appointments. It is important to look after your toe, which will mean applying dressings for a few weeks until the toe is healed.

Is There a Waiting List For Surgery?

No, there isn’ t. We treat this procedure as urgent and will arrange your appointment within a few days of recommendation.

Points to Consider

• The procedure is carried out at InStep Foot Clinic, in Wansford so there is no hospital stay.
• The nail surgery procedure takes about one hour.
• Bring open toe sandals or roomy slippers to go home in after your procedure because your toe(s) will have on bulky dressing.
• Whilst the toe is still numb take care not to injure it, e.g. by stubbing your toe or wearing a tight shoe.
• We would advise that you do not drive after the procedure due to the effects of the local anaesthetic . You may drive once the numbness has worn off completely.
• The local anaesthetic injection you will be given is not expected to have any unwanted side effects. The effects should wear off after a few hours. But, there are risks to having a local anaesthetic. Although extremely rare, there is a possibility that you may have an extreme reaction, known as anaph ylaxis . Your Podiatrist has been trained to deal with this.
• When you are considering the procedure, there may be other ways of dealing with this nail problem and you should ask your Podiatrist. If you have any queries or concerns about nail surgery, you should discuss these with your Podiatrist.

Do I need a letter from my GP?

No, you can refer yourself for Nail Surgery.

What Can Happen After Surgery?

You may experience mild discomfort after surgery, so we would advise that you take appropriate pain relief. Rarely, an infection may occur, in which case we would advise a prescription for antibiotics from your GP . There is also a very small possibility (less than 1%) that all or part of your nail may re-grow. If any part of the nail re-grows, we will repeat the surgery free of charge.

The healing time is variable according to how fast you heal. In any case this should not exceed six weeks. Following the Podiatrist’ s instructions closely, keeping the toe clean dry and dressed helps to speed your healing process and recovery.

How Much Does Nail Surgery Cost

The fee for our Nail Surgery Package is £500.00. This includes the following:

• Initial Assessment to ensure suitability
• Local Anaesthetic & Surgery
• One week post-op review appointment
• Three week post-op review appointment
• Six week post-op review appointment
• All dressing required for 6 weeks

Some Health Insurance companies cover Nail Surgery . Please check with your insurance company before proceeding with treatment.

N.B. Payment is entirely your responsibility.