Nail surgery is essential as an aid in diagnosis, to treat infections, to alleviate pain in the nail unit, to correct deformities, to excise tumors and to achieve cosmesis. This chapter aims to summarize the practice essentials before undertaking any nail surgery procedures. Each surgery is summarized step wise and supported by intraoperative photographs of essential nuances. Each section also includes practical tips from authors who have engaged in years of successful nail surgery. Common nail surgical procedures are stated like nail avulsion, ingrown nail, pincer nail, nail biopsy, periungual fibroma, glomus tumor, etc. Complications like pain, infection, necrosis, deformities, pterygium, etc. in nail surgery are also described in this chapter.