The aim of this book is to focus on the pterygium management. Pterygium is a fleshy ocular mass, most often, on the nasal conjunctiva that may cross the limbus to invade the cornea. In spite of the innocuous description, it has been a resilient adversary for the ophthalmic surgeons. This book comprises of four sections which include 26 chapters following as etiopathogenesis of pterygium, workup of a case of pterygium, pterygium excision with conjunctival autografting using glue, pterygium excision with conjunctival autograft (suture technique), conjunctival excision and extended tenectomy with conjunctival autograft for primary pterygium, pterygium surgery with autograft affixation using blood, antimetabolites in pterygium management, adjunctive therapy in pterygium management, management of corneal opacity after pterygium surgery etc. Pterygium may be complicated by other coexisting ocular pathologies that may warrant a surgeon’s attention while excising the lesion. These special situations include double-headed pterygium, pterygium complicated with co-existing cataract, corneal opacity, ocular surface squamous neoplasia and glaucoma with operated filtering surgery. This book also gives the opportunity to learn techniques such as extensive tenectomy, narrow strip conjunctival autograft, sandwich technique, autologous blood, mini-flap technique and minor ipsilateral simple limbal epithelial transplantation (mini-SLET). These techniques and its modifications have been described in great detail in the textbook to enable the surgeons to replicate the same.