AIM:To compare the effect between pterygium transposition and simple pterygium excision with limbal stem cell transplantation under topical anesthesia.METHODS:Fifty-one patients 61 eyes were randomized into two groups:transposition group and limbal stem cell transplantation group.Postoperative follow-up ranged from 1 to 2 years.RESULTS:One eye recurred in transplantation group. One eye recurred in limbal stem cell transplantation group. The recurred rate was 3% and 3% respectively. There was no significant difference between the two groups.CONCLUSION:Pterygium transposition is characterized by rapid corneal wound healing with low recurrence rate. It’s a method worth popularizing.