You may need nail surgery if you experience persistent pain, swelling, or infection around your toenail that doesn’t improve with home care or conservative treatments. Other signs include a chronically ingrown nail digging into the skin, repeated nail infections, or nail deformities causing discomfort while walking or wearing shoes. If your toenail problem affects your daily activities or worsens despite treatment, consulting a podiatrist at The Exeter Clinic can help determine if surgery is the best option for lasting relief.