·AIM:To observe the recurrence rate and complications of different methods of recurrent pterygium surgery.·METHODS:Between November 2006 and February 2009,31 cases(33 eyes)of recurrent pterygium(12 eyes of which were accompanied by symblepharon and limitation of ocular motility)were treated with pterygium excision,intraoperative mitomycin C application,conjunctival autografting(pedicle or free)or amnion membrane transplantation.The surgical method was to excise pterygium thoroughly,cover the bare sclera with a sponge containing 0.2g/L mitomycin C for 3 minutes,then irrigate the area with saline solution.The methods of covering the bare sclera included pedicle flap transposition of upper or lower conjunctiva(26 eyes),dissociative upper and lateral conjunctiva transplantation(2 eyes),and amnion membrane transplantation(5 eyes).·RESULTS:All cases were followed up for 9 months to 3 years with no pterygium recurrence in 28 eyes and slightly recurrence(fibrovasclar tissue did not enter the limbus of cornea or the entry size was no more than 2mm)in 5 eyes,the recurrence rate was 15%,4 of which had been performed with pedicle flap transposition,and 1 of which had been performed with amnion membrane transplanta-tion.Slightly recurrences of symblepharon were observed in 3 eyes;conjunctival granuloma in 1 eye,uncomfortable symptoms such as dry,red and foreign body sensation in 5 eyes,and no corneal and sclera resolving occurrence in any eye.·CONCLUSION:The surgical method of pterygium excision combined with conjunctival autograf-ting or amnion membrane transplantation,intraoperative mitomycin C application can obviously decrease the recurrence rate of recurrent pterygium.·