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Permanent Nail Removal 

Surgery may be recommended if your toenail doesn't improve from conventional nail cutting. Depending on the severity of your symptoms, this may involve removing part or all of your toenail.  If the patient wishes then it can be permanently removed. Marion Yau and her team will work together to make sure this is the right decision.

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What is permanent nail surgery?

Before surgery, every concerns are answered by a Nail Surgery Specialist 

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 damage/ infection can then be pulled out.​

​​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 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 or 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

  • 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

Nail Surgery Specialist Private Insurance Provider

Self Paying


A redeemable consultation is needed prior to surgery. This can be completed  virtually or face to face.  The cost  includes  local anaesthetic,  nail removal, up to 3 wound reviews and antibiotics, if needed. All surgery will be performed by Marion Yau.  If Marion Yau is not available, it will be a doctor or Podiatrist trained by her.

1 Nail

2 Nail

1 Foot & 2 Feet (Phenol Included)

Phenol application





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

Nail or Skin KOH & Culture Test

ONYCHO DNA Nail and Skin Testing  
(If NHS samples or Culture Samples come back negative)

Swabs for skin infection

Histology (Check for cancer)

Histology + Culture

IgE (Allergy Testing) for anti-fungal medications:
include blood test











Permanent Nail Surgery

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 15

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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