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Fungal Nail Surgery

Fungal infection most common in nail conditions

The infection develops slowly and causes the nail to become discolored, thickened and distorted.

Toenails are more frequently affected than the fingernails.

The medical name for a fungal nail infection is onychomycosis.

Surgery may be recommended if your toenail or fingernail doesn't improve. Depending on the severity of your symptoms, this may involve removing part or all of your nail.

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What is Fungal Nail Surgery?

Following a diagnosis of fungal nail infection (Onychomycosis). Toenail fungus or finger fungus infection can be removed surgically


The usual procedure is as follows:

The toe or finger is made numb and painless by injecting local anaesthetic into the base of the toe or finger.

The  toenail or fingernail fungus is cut right up to the base of the nail root and the offending fungal infection can then be pulled out.​

We wait for the nail to grow back and see if it grows back with the nail fungus or without the nail fungus.

If the nail is permanently removed. A small amount of acid (called phenol) is often put on the exposed part of the nail bed. This helps to stop  the root of the nail from growing a full nail. (The nail surgery specialist will always discuss with you the best options.)​

The nail is then dressed.

Once the anaesthetic wears off the toe or finger may be sore so you may need mild painkillers such as paracetamol for a day or so.

After the operation, the nail surgery specialist ior assistant will review your nail surgery wound and teach you how to dress the toe or finger.

What are the risk of nail surgery?

  • Infection following the removal of the nail/ nail piece

  • An allergic reaction to the chemical applied to the nail bed 

  • Regrowth of the removed nail/nail piece

  • Distortion of the remaining nail following partial removal

  • A rare but serious allergic reaction (anaphylaxis) following the injection of the local anaesthetic.

  • A rare pain syndrome  called chronic regional pain syndrome (1%)

  • Recurrence of the nail fungus.


How to make a claim

Before you access care, understand your cover then

  1. Gain pre-authorisation for a consultation 

        - if toe is infected, we may prescribe antibiotics 

  1. After the consultation gain pre-authorisation for toenail fungus or finger fungus removal. 

  2. Schedule a date and time for surgery suitable for you. 

  3. After the surgery, we will need to review the wounds and dress the wound*. Please gain follow up pre-authorisation

* Some insurance companies do not covered medication and dressing. Please check with your provider.

The Following are the codes 

  • Initial consultation: No code needed

  • Nail surgery: S6400 or  S7010 or AA628

  • Follow up consultation: No code needed

Nail Surgery Specialist Private Insurance Provider

  • BUPA Provider Number: 85020325

  • Cigna Provider Number: 203195

  • Vitality Health: Marion Yau

  • WPA Provider Number: 920706491

  • AVIVA Provider Number: 600099010

  • Simply Health, Helix and Health Shield: No membership number needed

Self Paying


This is recommended to patients with severe infected fungal nail infection or severe ingrown toenails. This is highly recommended if the nails is extremely thick or black. 4 laser of the practitioner choice will be included.  Dressing appointment, analgesic, medical boot and antibiotic may be included.  (Check Desktop version for full price). Majority of insurance will provide a partial or full cover for nail surgery. Additional nails £250

1 Nail

2 Nail

1 Foot

2 Feet





Other Additional Treatment & Test

This is recommended to patients with severe infected fungal nail infection. Oral systemic medication is recommended for clients.

General Pracitioner consultation and prescription (In- House)

General Pracitioner consultation and prescription (Telephone)

Blood Test (General blood test and Liver Function Test)

Repeated Prescription Only





Fungal Nail Removal 

Marion Yau, Harley Street Nail Treatment and Surgery Specialist  trained all our dedicated team. Marion Yau has over 18 years of experience in treating nails and 12 years of nail surgery experience. Marion Yau and her team will work with you to develop a treatment programme especially for you. Let's get you back on your feet today!

Our Podiatric Commitment

Our commitment to delivering a quality service sets us apart from others. When you engage in our services, we’ll offer you an appointment as soon as possible to get you back on your feet. We only employ qualified, registered practitioners, so you can be confident that you are receiving a professional service. Our clinic won various customer service awards and best clinic awards.

Get in Touch

46 Harley Street,



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