AIM:To evaluate the effect of individualized pterygium excision·METHODS:Three hundred and seventeen patients(379 eyes) with pterygium were enrolled in our hospital from Feb 2008 to Feb 2011.Individualized treatments were carried out according to different conditions.The effects were observed·RESULTS:Comparing with the simple pterygium excision,the recurrence rates of pterygium in all individualized pterygium excision groups were lower,there was statistical significance(P<0.05).The recurrence rates of pterygium were no statistical significance(P>0.05)between the individualized pterygium excision groups·CONCLUSION: The individualized surgical treatment is safe and has better clinical effect.