Abstract: 【Abstract】 Nail dystrophy is a group of non-specific nail plate diseases with various clinical manifestations caused by multiple factors. Appropriate surgical approaches could be chosen according to different causes of nail dystrophy to improve the nail plate shape and relieve clinical symptoms. This review summarizes the progress in surgical treatment of pachyonychia congenita, congenital malalignment of the great toenail, congenital hypertrophy of the lateral nail folds of the hallux, chronic paronychia and other nail dystrophies, including resection of the nail matrix and nail bed, nail unit rotation surgery combined with wedge-shaped skin flap excision and repair, nail fold reconstruction, Swiss roll technique, etc., in order to provide a reference for clinicians to choose appropriate surgical approaches.

Key words: Nail disease, Surgical procedures, Pachyonychia congenita, Paronychia, Congenital malalignment of the great toenail, Congenital hypertrophy of the lateral fold of the hallux, Nail dystrophy