Pterygium excision with conjunctival autograft transplantation remains the procedure of choice for definitive treatment of both primary and recurrent pterygia. By replacing the area of pterygium-altered conjunctiva with normal bulbar conjunctival tissue, this technically straightforward surgical technique has long been proven to be efficacious with respect to minimal pterygium recurrence and long-term safety. 1 , 2 The basic technique, as originally devised in the 1980s, 1,3–5 has subsequently been modified to include the use of tissue adhesives 6–10 and adjunctive antimetabolite treatment. 11–15