The complete removal of an offending section of nail from an area if pain, inflammation and in some cases infection (infection will be managed with antibiotics where it is suspected).

All procedures are performed under Local Anaesthetic meaning your toe will be completely numb during the procedure. This can be performed at Z.W. Foot & Ankle in 1 of 2 ways:

  • Partial Nail Avulsion (PNA) Where we remove a small, thin section of the nail from the nail matrix (the root of nail growth) under Local Anaesthetic. The area is then Phenolised to ensure the nail does not grow back. performed in cases when only one edge of the nail is causing a problem, often used in cases where the nail has been cut incorrectly and has caused an ingrowing toenail. So if in doubt of cutting your own toenails, don’t be embarrassed to pay us a visit and we can show you the safest way possible both for children and adults.


  • Total Nail Avulsion (TNA) An identical procedure in many ways but we remove the entire nail. Performed in cases of extremely thickened and involuted nails.

Every patient will attend for an Initial appointment to ascertain whether this is a suitable procedure for you. Written consent required. If under 16 this must be signed by a parent or guardian of the child.

The cost of this entire package includes your surgery, post operative visits of which there will be 2, post operative dressings and advice pack.